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The Blood

Objectives

By the end of this lecture you should be able to

• Describe the composition of Blood

• Describe composition of Plasma and Types of Cells

Present [RBC, WBC, Platelets]

• List the normal Values for Hb, RBC, WBC, PLT

• Define Anemia, Polycythemia, Leukocytosis, Leukopenia,

Thrombocytosis, Thrombocytopenia

• List the different types of the blood Vessels(Arteries

,Arterioles – resistance, Capillaries, Veins)

• Define blood Pressure, Hyper tension, Hypo tension

• Define normal Heart rate

Blood

• Represents about 8% of total body weight

Average volume

5 liters in women

5.5 liters in men

Composition of the blood

Plasma: fluid part, 55% of total blood volume.

Cellular elements: 45% of total blood volume.

RBC or erythrocytes

-men 5.4 million/mm 3

-women 4.8 million /mm 3

Hb concentration:

– men 16 g/dl

– women 14 g/dl

WBC or leukocytes 4000-11000/mm3

Platelets or 150,000-400,000 /mm3

Blood Composition

Hematocrit or packed cell volume :

% of total blood volume occupied by RBCs.

Blood

• Consists of 3 types of specialized cellular elements suspended in plasma (liquid portion of blood)

Erythrocytes

• Red blood cells ( contains hemoglobin)

• Important in O

2

Leukocytes transport

• White blood cells

• Immune system’s mobile defense units

Platelets

• Cell fragments

• Important in hemostasis(they prevent blood loose from damaged blood vessels).

DIFFERENT TYPES OF WBC &

THEIR FUNCTIONS

WBC

1. Neutrophil (60-70%)

FUNCTION

Phagocytosis (engulf bacteria)

2. Eosinophil (1-4%)

3. Basophil (0.5-1%)

Important in allergic reactions

Important in allergic reactions and have heparin

4. Lymphocytes (25-33%)

5. Monocyte (2-8%)

For immunity

Tissue macrophage

PLASMA

• Plasma is transport medium for inorganic and organic substances.

• Plasma Composition:

 Water – 90%

 Solids – 10 %

 Electrolytes [1%]– mainly Na + , Cl , K + , HCO

3

 Plasma protein [6-8%]

, Ca 2+

 Organic Substances - Glucose, Amino acids, Lipids,

Vitamins

 Waste products – urea, creatinine

 Dissolved gases – O

2

 Hormones and CO

2

Plasma

Plasma proteins

– Compose 6% to 8% of plasma’s total weight

3 groups of plasma proteins

Albumins

– Most abundant plasma proteins

Globulins

3 subclasses

» Alpha (α)

» Beta (β)

» Gamma (γ)

Fibrinogen

– Key factor in blood clotting

 Most of the plasma protein are synthesized in liver.

Functions

Plasma

Constituent

Water (makes up

90% of plasma)

Electrolytes

Alpha and beta globulins

Transport medium, carries heat

Nutrients, wastes, gases, hormones

Membrane excitability; osmotic distribution of fluid between

ECF and ICF; buffer pH changes

Transported in blood; blood gas CO base balance

2 plays role in acid-

Plasma proteins In general, exert an osmotic effect important in distribution of ECF between vascular and interstitial compartments; buffer pH changes

Albumins Transport many substances; contribute most to colloid osmotic pressure

Transport many water-insoluble substances; clotting factors; inactive precursor molecules

Gamma globulins Antibodies

Fibrinogen Inactive precursor for the fibrin meshwork of a clot

CLINICAL APPLICATION

Anemia – decrease in RBC & Hb

Polycythemia – increase in RBC & Hb

Leukocytosis – increase in WBC count (more than

11,000 /mm3

Leukopenia – decrease in WBC count (less than 4000

/mm3

Thrombocytosis – increase in platelet count

Thrombocytopenia – decrease in platelet count

BLOOD VESSELS

Basic Organization of the Cardiovascular

System

Vascular Tree

Consists of

Arteries

• Carry blood away from heart to tissues

Arterioles

• Smaller branches of arteries

Capillaries

• Smaller branches of arterioles

• Smallest of vessels across which all exchanges are made with surrounding cells

Venules

• Formed when capillaries rejoin

• Return blood to heart

Veins

• Formed when venules merge

• Return blood to heart

Arteries

Specialized to

– Serve passageways for blood from heart to organs

• Due to large radius, arteries offer little resistance to blood flow

– Act as pressure reservoir to provide driving force for blood when heart is relaxing

– Has thick, highly elastic wall.

• Arterial connective tissue contains

Collagen fibers

» Provide tensile strength

Elastin fibers

» Provide elasticity to arterial walls

Arteries as a Pressure Reservoir

Blood Pressure

Blood pressure averages

120 mm Hg during systole ( systolic pressure )

80 mm Hg during diastole ( Diastolic pressure )

 the difference between systolic & diastolic pressures is called the pulse pressure )

Hypertension: increase in Blood pressure

Hypotension: decrease in Blood pressure

Arterioles

• Major resistance vessels

• Arterioles are highly muscular (smooth muscle).

• Have no elastic fiber.

• Radius supplying individual organs can be adjusted independently to

– Distribute cardiac output among systemic organs, depending on body’s momentary needs

– Help regulate arterial blood pressure

Arterioles

• Mechanisms involved in adjusting arteriolar resistance

Vasoconstriction

• Refers to narrowing of a vessel

Vasodilation

• Refers to enlargement in circumference and radius of vessel

• Results from relaxation of smooth muscle layer

• Leads to decreased resistance and increased flow through that vessel

Arteriolar Vasoconstriction and Vasodilation

Capillaries

• Thin-walled, small-radius, extensively branched

• Sites of exchange between blood and surrounding tissue cells

• Narrow, water-filled gaps (pores) lie at junctions between cells

• Permit passage of water-soluble substances

• Lipid soluble substances readily pass through endothelial cells by dissolving in lipid bilayer barrier

• Size of pores varies from organ to organ

Capillaries

Veins

Venous system transports blood back to heart

Capillaries drain into venules

Venules converge to form small veins that exit organs

Smaller veins merge to form larger vessels

Veins

– Veins are thin walled as compared to arteries

– Large radius offers little resistance to blood flow

– Also serve as blood reservoir

– serve as a BLOOD RESERVOIR (under resting conditions nearly two-thirds of all your blood in located in the veins), they are called ‘CAPACITANCE

VESSELS’.

Lymphatic System

• Extensive network of one-way vessels

• Provides accessory route by which fluid can be returned from interstitial to the blood

Percentage of blood volume in different parts of circulatory system

References

Human physiology by Lauralee Sherwood, seventh edition

Text book physiology by Guyton &Hall,11

th

edition

Text book of physiology by Linda .s contanzo,third edition

29

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