1. Hematocrit • The volume of a blood sample 1 2. Formed Elements • Accounts for 45% of whole blood • Erythrocytes • Leukocytes • Platelets 2 3. Plasma • Liquid portion of the blood – accounts for 55% of whole blood • Is 90% water • Helps to distribute body heat evenly 3 4. Platelets • Are needed for the clotting process • Formerly called thrombocytes (platelets) 4 5. Hemoglobin (Hb) • Is an iron containing protein • Transports oxygen • Also binds with CO2 • 250 million HB molecules in 1 RBC • Normal levels 12-18g/100ml of blood • Males: 13-18g; Females: 12-16g 5 6. Hematopoiesis • Blood cell formation that occurs in the red bone marrow found in flat bones (skull, pelvis, ribs, sternum, proximal epiphyses of the humerus and the femur). 6 7. Erythropoietin (EPO) • Hormone that controls rate of erythrocyte (RBC) production • Is produced by the kidneys • Targets the bone marrow 7 8. Erythrocytes • Red Blood Cells (RBC’s) • Are anucleate • Have few organelles • No mitochondria • Have biconcave disks for increased surface area for Oxygen/Carbon Dioxide 8 9. Leukocytes White Cells • Are White Blood Cells (WBC’s) • Protect, defense, immunity • Account for less than 1% of total blood volume • Are complete blood cells: contain nuclei and organelles 9 10. Leukocytosis • An increased white blood cell count • Could be indicative of a bacterial or viral infection 10 11. Leukopenia • Abnormally low WBC count • Commonly caused by certain drugs, and anticancer medications 11 12. Diapedesis • Means “leaping across” • WBC’s are able to slip in and out of blood vessels as needed 12 Leukocyte Squeezing Through Capillary Wall – literally “leaping across” a blood vessel 13 13. Megakaryocytes • Fragments of bizarre multinucleate cells • They rupture and release thousands of pieces that seal off from surrounding fluids 14 14. Granulocytes • Contains granules (appears as grains of sand) • Are “philled” with sand Types: Neutrophils Eosinophils Basophils 15 15. Neutrophils • Act as avid phagocytes at site of acute infections 16 16. Eosinophils • Kills parasitic worms • Tend to increase during allergies 17 17. Basophils • Rarest form of WBC’s • Contains histamines at sites of inflammation 18 18. Agranulocytes • Lack visible organelles • Include: lymphocytes and monocytes • “are a “cyte” for sore eyes” 19 19. Lymphocytes • Part of the immune system • Reside in lymphatic tissues 20 20. Monocytes • Are the largest WBC • Change into macrophages • Help fight chronic infections 21 21. Polycythemia • Excessive or abnormal increase in RBC’s • May result from: 1) bone marrow cancer 2) High altitudes • Leads to increase viscosity, sluggish flow 22 22. Anemia Reduced oxygen-carrying capacity of the blood cause by a low number of erythrocytes or decreased percentage of hemoglobin 23 23. Albumin • Is a plasma protein • Regulates osmotic pressure of blood • Helps to keep water in the bloodstream 24 24. ABO Blood Groups • 2 Antigens (A or B) inherits one or the other, both or none • Absence of both antigens = Type O • Presence of both = Type AB • Either A or B if just one antigen present • AB type is universal recipient • O type is universal donor 25 25. Antigens • Is recognized as “foreign” • Stimulates release of antibodies from the immune system • Over 30 common RBC antigens 26 26. Agglutination • Binding of the antibodies causing RBC’s to clump • Leads to clogging of small blood vessels 27 27. Rh blood groups 8 Rh antigens first discovered in Rhesus monkeys; most Americans are Rh+ meaning they carry the Rh antigen 28 28. Hemostasis • Hem = blood • Stasis = standing still • Means stoppage of blood flow 29 29. Hemophilia • Hereditary bleeding disorder • “bleeder’s disease” • Patients are given fresh plasma or injections of missing platelet factor (Pf) 30 Disorders of the clotting process Undesirable Clotting • Thrombus • embolus Bleeding disorders • Thrombocytopenia – is a platelet deficiency • Hemophilia – lack Pf factors for clotting 31 30. Thrombus • A clot that develops in an unbroken blood vessel 32 31. Embolus • When a clot (thrombus) breaks away from a blood vessel and floats freely in the bloodstream • Potentially life threatening 33 32. Heparin • Body’s natural anticoagulant 34 33. Coagulation To clot 35 34. Fibrin Is converted from fibrinogen to fibrin Is an insoluble protein formed during blood clotting process 36 Process of Blood Clotting Is a multistep process: 1.Vascular spasms – of the smooth muscle in the vessel wall producing a vasoconstriction resulting from serotonin. • Lasts up to 30 minutes • Makes the platelets “sticky” as they are produced 37 Process of Blood Clotting 2. Platelet plug forms – damaged blood vessel releases Von Willebrand’s Factor. • Platelets release ADP causing aggregation and a plug to form • An increase in the “stickiness” results 38 Process of Blood Clotting 3. Coagulation (clotting phase) Platelet Factor III (PF3) releases thromboplastin. • PF3 and Calcium forms an activator producing a cascade effect. • Prothrombin (in the plasma) is converted to Thrombin (an enzyme) • Formation of Fibrinogen (plasma protein) to Fibrin to trap platelets “meshwork.” 39 Process of Blood Clotting Entire process normally takes 3 – 6 minutes • A sudden and severe loss of blood leads first to shock and eventually death Use direct pressure to help Elevate body part above the heart to allow gravity to take effect 40 3 phases of hemostasis (process of blood clotting): •Vascular spasms – decreases the flow of blood to the area •Platelet plug formation – platelets become “sticky” and cause chemical release to form clot •Coagulation – prothrombin to thrombin and fibrinogen to fibrin 41 http://www.mhhe.com/biosci/esp /2002_general/Esp/folder_struct ure/tr/m1/s7/trm1s7_3.htm 42 43