The Blood and Blood Vessels Dr.Mohammed Sharique Ahmed Quadri Assistant prof. Physiology Al Maarefa College 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 • Blood transports O2, nutrients to tissues and CO2 to lungs and other products of metabolism to kidneys. 3 Blood • Represents about 8% of total body weight • Average volume • 5 liters in women • 5.5 liters in men BLOOD COMPOSITION • Blood consists of – Liquid PLASMA , in which cellular elements are present. – Cellular Elements are • Red Blood Cells(RBC) or Erythrocytes • White Blood Cells (WBC) or Leukocytes • Platelets or Thrombocyte 5 Normal values • Plasma: fluid part, 55% of total blood volume. • Cellular elements: 45% of total blood volume. – Red Blood Cell [RBC] – 5 millions / mm3 – Hemoglobin [Hb] – 15 gm / dl – White Blood Cell [WBC] – 4000-11000/mm3 – Platelet – 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 O2 transport – Leukocytes • 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 FUNCTION 1. Neutrophil (60-70%) Phagocytosis (engulf bacteria) 2. Eosinophil (1-4%) Important in allergic reactions 3. Basophil (0.5-1%) Important in allergic reactions and have heparin 4. Lymphocytes (25-33%) For immunity 5. Monocyte (2-8%) Tissue macrophage PLASMA • Plasma is transport medium for inorganic and organic substances. • Plasma Composition: Water – 90% Solids – 10 % Electrolytes [1%]– mainly Na+, Cl-, K+, HCO3-, Ca2+ Plasma protein [6-8%] Organic Substances - Glucose, Amino acids, Lipids, Vitamins Waste products – urea, creatinine Dissolved gases – O2 and CO2 Hormones 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. Plasma Constituent Functions Water (makes up 90% of plasma) Transport medium, carries heat Electrolytes Membrane excitability; osmotic distribution of fluid between ECF and ICF; buffer pH changes Nutrients, wastes, gases, hormones Transported in blood; blood gas CO2 plays role in acidbase balance 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 Alpha and beta globulins 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 BLOOD VESSELS • Blood is transported to all parts of the body through blood vessels to supply O2, nutrition and remove the waste products e.g. CO2, Urea. • Oxygenated blood is pumped by left ventricle to Aorta and goes to blood vessels to supply oxygen and nutrition to body. • Blood is returned to right side of the heart as Deoxygenated blood through veins. 15 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 – Take blood from heart to the organs – Has large radius – Large Act as PRESSURE RESERVOIR to provide driving force for blood when heart is relaxing – Has thick, highly elastic wall. – Has elastic fibers in the wall. Arteries as a Pressure Reservoir Arterioles • Arterioles are highly muscular (smooth muscle). • Have small radius • Have no elastic fiber. • Are Major resistance vessels 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 Arteriolar Vasoconstriction and Vasodilation Capillaries • Thin-walled, small-radius, extensively branched • have endothelial lining only between blood and tissues. • Sites of exchange between blood and surrounding tissue cells (exchange vessels) • Bring blood within reach of every cell. • 10 billions in number. Capillaries Veins – Bring blood to heart. – Veins are thin walled as compared to arteries – Large radius – Also serve as blood reservoir – serve as a BLOOD RESERVOIR (under resting conditions nearly 65% of blood in located in the veins). – As they can store blood, they are called 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 ‘USEFUL INFORMATION’ • Normal Pulse Rate – 72 beats/min (range 60-100 beats/min) • Normal Blood Pressure (BP) – 120/80 mmHg (range for systolic BP – 100-140 mmHg) (range for diastolic BP – 60-90 mmHg) • Hypertension (high blood pressure) – when BP is above 140/90 mmHg. • Hypotension (low blood pressure) – when BP is below 100/60 mmHg. 29 References • Human physiology by Lauralee Sherwood, seventh edition • Text book physiology by Guyton &Hall,11th edition • Text book of physiology by Linda .s contanzo,third edition 30