Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 1 BLOOD CHARACTERISTICS • BLOOD IS A SPECIALIZED CONNECTIVE TISSUE MADE OF CELLS AND PLASMA. BLOOD FUNCTIONS INCLUDE:• TRANSPORT OF SUBSTANCES. • FIGHT INFECTIONS. • MAINTAIN A STABLE INTERNAL BODY ENVIRONMENT. • REGULATE THE BODY TISSUES pH 2 BLOOD COMPONENTS • PLASMA • RED BLOOD CELLS {ERYTHROCYTES} {RBCs} • WHITE BLOOD CELLS {LEUKOCYTES} • PLATELETS {THROMBOCYTES} • PROTEINS • ELECTROLYTES 3 BLOOD COMPONENTS 4 PLASMA • PLASMA IS THE LIQUID PART OF BLOOD • 90% WATER PLUS SOLUTES SUCH AS:• PROTEINS • NUTRIENTS • ENZYMES • HORMONES • ELECTROLYTES • RESPIRATORY GASES 5 PLASMA PROTEINS • MADE BY THE LIVER. THREE TYPES:• ALBUMINS {60%} MAINTAIN THE BLOOD OSMOTIC PRESSURE. • GLOBULINS {36%} ALPHA, BETA AND GAMMA. FUNCTION FOR BODY IMMUNITY • FIBRINOGEN {4%} INVOLVED IN BLOOD CLOTTING. 6 RED BLOOD CELLS • RBCs ARE TINY BICONCAVE DISKS THAT TRANSPORT OXYGEN & CARBON DIOXIDE • 4 – 6 MILLION/ML OF BLOOD IN ADULTS. • PRODUCED BY THE RED BONE MARROW UNDER ERYTHROPOIETIN STIMULATION. • ERYTHROPOIETIN IS SECRETED BY THE KIDNEYS {90%} AND THE LIVER {10%}. • RBCs LIFE SPAN IS 120 DAY. DEAD ONES ARE REMOVED BY THE SPLEEN & LIVER. 7 RED BLOOD CELLS PRODUCTION 8 WHITE BLOOD CELLS • PRODUCED BY THE RED BONE MARROW. • 4,000 – 10,000 / ML OF BLOOD. • WBCs PRODUCTION IS INCREASED BY DISEASE – CAUSING ORGANISMS. • WBCs PROVIDE A DEFENSE AGAINST DISEASE ORGANISMS BY PHAGOCYTOSIS OR BY RELEASING CHEMICALS THAT KILL THE ORGANISMS. 9 WHITE BLOOD CELLS TYPES GRANULOCYTES:• NEUTROPHILS • EOSINOPHILS • BASOPHILS AGRANULOCYTES:• LYMPHOCYTES • MONOCYTES 10 NEUTROPHIL 11 EOSINOPHIL 12 BASOPHIL 13 LYMPHOCYTE 14 MONOCYTE 15 PLATELETS • THEY ARE CYTOPLASMIC FRAGMENTS OF LARGE CELLS CALLED MEGAKARYOCYTES. • 150,000 – 400,000 / ML OF BLOOD. • PLATELETS CLUMP TOGETHER TO PLUG ANY BREAKS IN THE BLOOD VESSELS AND START THE BLOOD CLOTTING PROCESS THAT STOPS BLEEDING. 16 FORMATION OF BLOOD CELLS 17 HEMOSTASIS • IS THE STOPPAGE OF BLEEDING FROM A BROKEN BLOOD VESSEL. IT INVOLVE THREE PROCESSES:• BLOOD VESSEL SPASM & CONSTRICTION • PLATELET PLUG FORMATION • BLOOD CLOT FORMATION OR COAGULATION 18 PLATELET PLUG FORMATION 19 COAGULATION • DAMAGED TISSUE PRODUCE IN THE BLOOD A PROTHROMBIN ACTIVATOR. • PROTHROMBIN ACTIVATOR CONVERT PROTHROMBIN INTO THROMBIN. • THROMBIN CONVERT FIBRINOGEN INTO FIBRIN THREADS. • FIBRIN THREADS FORM A NET THAT TRAP BLOOD CELLS AND PLATELETS TO FORM THE BLOOD CLOT. 20 A BLOOD CLOT 21 THE HEMOSTASIS PROCESSES 22 HUMAN BLOOD TYPES • BLOOD TYPES ARE DETERMINED BY THE • • • PRESENCE OF SPECIFIC ANTIGENS CALLED {A OR B} ON THE ERYTHROCYTES SURFACE. ANTIBODIES ARE SUBSTANCES IN THE PLASMA WHICH ATTACK ANY FOREIGN PROTEINS THAT ENTER THE BODY. FOREIGN RBCs ARE CLUMPED BY THE BINDING OF ANTIBODIES CAUSING AGGLUTINATION. IF THE RBCs HAVE AN RHESUS {Rh} ANTIGEN, THE BLOOD TYPE IS CALLED Rh POSITIVE. 23 HUMAN BLOOD TYPES 24 BLOOD TRANSFUSION 25 ERYTHROBLASTOSIS FETALIS • WHEN A WOMAN WITH AN Rh NEGATIVE BLOOD IS PREGNANT WITH HER FIRST Rh POSITIVE BABY, SHE IS SENSITIZED AND PRODUCE ANTI-Rh ANTIBODIES. • DURING HER SECOND PREGNANCY WITH AN Rh POSITIVE BABY, THE MATHER’S ANTI-Rh ANTIBODIES DESTROY THE BABY RBCs CAUSING HARMFUL EFFECTS. 26 ERYTHROBLASTOSIS FETALIS 27