Anatomy and Physiology, Sixth Edition Rod R. Seeley Idaho State University Trent D. Stephens Idaho State University Philip Tate Phoenix College Chapter 19 Lecture Outline* *See PowerPoint Image Slides for all figures and tables pre-inserted into PowerPoint without notes. 19-1 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Chapter 19 Cardiovascular System Blood 19-2 Functions of Blood • Transport of: – Gases, nutrients, waste products – Processed molecules – Regulatory molecules • • • • Regulation of pH and osmosis Maintenance of body temperature Protection against foreign substances Clot formation 19-3 Composition of Blood 19-4 Plasma • Liquid part of blood – Pale yellow made up of 91% water, 9% other • Colloid: Liquid containing suspended substances that don’t settle out – Albumin: Important in regulation of water movement between tissues and blood – Globulins: Immune system or transport molecules – Fibrinogen: Responsible for formation of blood clots 19-5 Formed Elements • Red blood cells (erythrocytes) • White blood cells (leukocytes) – Granulocytes • Neutrophils • Eosinophils • Basophils – Agranulocytes • Lymphocytes • Monocytes • Platelets (thrombocytes) 19-6 Production of Formed Elements • Hematopoiesis or hemopoiesis: Process of blood cell production • Stem cells: All formed elements derived from single population – Proerythroblasts: Develop into red blood cells – Myeloblasts: Develop into basophils, neutrophils, eosinophils – Lymphoblasts: Develop into lymphocytes – Monoblasts: Develop into monocytes – Megakaryoblasts: Develop into platelets 19-7 Hematopoiesis 19-8 Erythrocytes • Structure – Biconcave, anucleate • Components – Hemoglobin – Lipids, ATP, carbonic anhydrase • Function – Transport oxygen from lungs to tissues and carbon dioxide from tissues to lungs 19-9 Hemoglobin • Consists of: – 4 globin molecules: Transport carbon dioxide (carbonic anhydrase involved), nitric oxide – 4 heme molecules: Transport oxygen • Iron is required for oxygen transport 19-10 Erythropoiesis • Production of red blood cells – Stem cells proerythroblasts early erythroblasts intermediate late reticulocytes • Erythropoietin: Hormone to stimulate RBC production 19-11 Hemoglobin Breakdown 19-12 Leukocytes • Types • Protect body against microorganisms and remove dead cells and debris • Movements – Ameboid – Diapedesis – Chemotaxis – Neutrophils: Small phagocytic cells – Eosinophils: Reduce inflammation – Basophils: Release histamine and increase inflammatory response – Lymphocytes: Immunity – Monocytes: Become macrophages 19-13 Leukocytes • Macrophages: - are the main phagocytes of the body. • Neutrophils: - are the first responders and become phagocytic when they encounter infectious material. • Eosinophils: - are weakly phagocytic but are important in defending the body against parasitic worms. • Mast cells: - have the ability to bind with, ingest, and kill a wide range of bacteria. Natural killer cells • They are able to lyse and kill : - cancer cells - virally infected cells before the adaptive immune system has been activated Leukocytes 19-19 Thrombocytes • Cell fragments pinched off from megakaryocytes in red bone marrow • Important in preventing blood loss – Platelet plugs – Promoting formation and contraction of clots 19-20 Hemostasis • Arrest of bleeding • Events preventing excessive blood loss – Vascular spasm: Vasoconstriction of damaged blood vessels – Platelet plug formation – Coagulation or blood clotting 19-21 Platelet Plug Formation 19-22 Coagulation • Stages – Activation of prothrombinase – Conversion of prothrombin to thrombin – Conversion of fibrinogen to fibrin • Pathways – Extrinsic – Intrinsic 19-23 Clot Formation 19-24 Fibrinolysis • Clot dissolved by activity of plasmin, an enzyme which hydrolyzes fibrin 19-25 Blood Grouping • Determined by antigens (agglutinogens) on surface of RBCs • Antibodies (agglutinins) can bind to RBC antigens, resulting in agglutination (clumping) or hemolysis (rupture) of RBCs • Groups – ABO and Rh 19-26 ABO Blood Groups 19-27 Agglutination Reaction 19-28 Rh Blood Group • First studied in rhesus monkeys • Types – Rh positive: Have these antigens present on surface of RBCs – Rh negative: Do not have these antigens present • Hemolytic disease of the newborn (HDN) – Mother produces anti-Rh antibodies that cross placenta and cause agglutination and hemolysis of fetal RBCs 19-29 Erythroblastosis Fetalis 19-30 Diagnostic Blood Tests • Type and crossmatch • Complete blood count – Red blood count – Hemoglobin measurement – Hematocrit measurement • White blood count • Differential white blood count • Clotting 19-31 Blood Disorders • Erythrocytosis: RBC overabundance • Anemia: Deficiency of hemoglobin – – – – – Iron-deficiency Pernicious Hemorrhagic Hemolytic Sickle-cell • • • • • • Hemophilia Thrombocytopenia Leukemia Septicemia Malaria Infectious mononucleosis • Hepatitis 19-32