AnatomyNotes ch. 10(Blood).

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Chapter 10

Blood

Anatomy and Physiology

Blood - Introduction

 Blood – (only) liquid connective tissue that consists of cells and cell fragments surrounded by a liquid matrix called plasma.

 Total blood volume for avg. adult female

= 4 to 5 liters and avg. adult male = 5 to 6

L

 Blood makes up about 8% of total body weight

Functions of Blood

 Transports oxygen, nutrients, enzymes, and hormones

 Transports CO2 and waste products away from tissue

 Maintains body temperature

 Maintains body fluids

Blood Facts

 Oxygen enters blood in the lungs and CO2 enters blood from tissues.

 45% of the volume of blood consist of

RBC (a.k.a erythrocytes)

 <1% consists of

WBC (leukocytes) and cell fragments called platelets

(thrombocytes)

 55% of volume is plasma (liquid portion)

Blood Grouping

 Blood groups are determined by antigens on the surface of RBC.

 Antigens are microscopic molecules

 Antibodies will bind to the antigens resulting in agglutination or hemolysis or

RBC.

 Agglutination – clumping of RBC

 Hemolysis – rupture of RBC

ABO Blood Group

 Blood is categorized by the ABO Blood group system

 ABO antigens appear on the surface of

RBC

Blood Types

 Type A Blood – A antigen

 Type B Blood – B antigen

 Type AB Blood – A and B antigen

 Type O Blood – does not have A or B

Population Distribution

 Type A – ~ 41%

 Type B – ~ 10%

 Type AB – ~ 4%

 Type O – ~ 45%

 Rh+ - 85%

 Rh- - 15%

Blood Types

 Type A Blood – B antibodies

 Type B Blood – A antibodies

 Type AB Blood – does not have A or B

 Type O Blood – has A and B

 Mismatching Blood groups can result in transfusion reaction.

Rh Blood Group

 Another blood group that was first studied in the Rhesus monkey.

 Rh+ - Rh antigens on RBC

 Rh- - Rh antigens are not present

 Can cause a problem in pregnancy if mother is Rh- and baby is Rh+

 Mother will make antibodies against the baby

 Prevention – mother gets shot of Rho immune globulin

Transfusions

 Transfusion – transfer of blood

 Donor – person who gives blood

 Recipient – person who receives blood

 Universal Donor – Type O Blood

 Universal Recipient – Type AB Blood

Blood Transfusion Chart

Plasma

 Made up of 90% H

2

O

 Other 10% is made up of: electrolytes, hormones, proteins, and various metabolic waste.

 Albumin- liver produced protein found in plasma. Functions include: keeps water in bloodstream, help stop blood loss when blood vessels are damaged.

Erythrocytes

 Disc shaped

 Live ~ 120 days in males and 110 days in females

 Transport oxygen and remove CO2

 Contain hemoglobin

 Biconcave disc (flattened disc with depressed center)- provide large surface area for transportation of gases.

Erythrocytes

 Hemoglobin bound to oxygen is bright red in color

Hemoglobin that is without oxygen is darker red

~2/3 of body’s iron is found in hemoglobin

Lack nucleus( can’t undergo mitosis)

 Lack mitochondria

(can’t use oxygen to create energy)

Complete Blood Count

 CBC – complete blood count

 Analysis of RBC, hemoglobin, and WBC

 RBC – male – 4.6 to 6.2 million/mm3

 Female – 4.2 to 5.4 million/mm3

 WBC – 5000 – 9000/mm3

Hemoglobin Measurement

 Determined amount of hemoglobin in a given volume of blood

 Male – 14 to 18 grams/100mL

 Female – 12 to 16 grams/100mL

 Low hemoglobin – anemia – low RBC

Anemia

 A decreased ability of the blood to carry oxygen.

 Causes: Blood loss (Injury or menstrual cycle), bacterial infections, lack of Vitamin B

12

, medicine side effects, lack of iron in diet (red meat, certain beans, wheat and green vegetables), or disorders.

 Symptoms: fatigue, pale skin, headache, dizziness, shortness of breath, or cold hands and feet.

Sickle Cell Anemia

 Blood cells shaped like a crescent moon which causes anemia and sluggish blood flow which impairs circulation (oxygen delivery).

 Blood cells shape causes them to block small blood vessels which causes extreme pain/discomfort.

 Occurs in people of African descent. Shape of

RBC does not allow the Malaria parasite to reproduce in the body.

Sickle Cell

Blocked Blood Vessel

History of RBC

 ~2.5 million RBC are destroyed every second

 New RBC are produced as quickly as they are destroyed

 Hematopoiesis – process of blood cell production

 Low blood oxygen level will cause RBC production

 Blood cells are formed in red marrow in bones

 Jaundice – liver can’t rid the blood of hemoglobin byproducts in blood causing a yellow skin color

Types of Bone Marrow

 Red Marrow – found in spongy bone and forms WBC, RBC, and platelets

 Yellow Marrow – composed of fat and is not capable of blood cell formation

 Adult blood formation occurs in humerus, femur, cranium, ribs, sternum, clavicles, vertebrae

Leukocytes

 White blood cells

 Whitish color because they lack hemoglobin

 Larger than RBC

 Far less numerous than RBC

 Have a nucleus

Protects against microorganisms

If person’s WBC count is high infection

2 Major Types of Leukocytes

 Granulocytes – contain large cytoplasmic granules

 Agranulocytes – contain small granules

3 Kinds of Granulocytes

1.Neutrophils

– most common type

 Remains is blood ~ 10-12 hours

Dead cell debris forms pus at site of infection

Function - Active phagocytes, increase during times of acute infection.

2.Eosinophils

– release chemicals that reduce inflammation

Functionkill parasitic worms, increase during allergic reactions.

Granulocytes Cont’d

 3.Basophils – help regulate inflammatory response

 Release histamine = promotes inflammation

 Histamines are vasodilators, which increase blood flow to area.

 Inflammation is a result of increased blood flow and accumulation of cells in area that is healing/fighting microorganisms.

2 Types of Agranulocytes

 1.Lymphocytes – smallest of WBC

 Plays important role in body’s immune system

 Produces antibodies

 Important in fighting tumors and viruses.

 2.Monocytes – largest

WBC

 After they leave the blood and into the tissue

– they become macrophages

 Macrophages – destroy bacteria, dead cells, and other debris

 Increase during chronic infections

Platelets

 Thrombocytes – minute fragments of cells

 Produced in red marrow

 Prevent blood loss by causing blood clotting

 ~ 300,000 per mm 3

Preventing Blood Loss

Blood vessels

Blood clot – thrombus constrict in

 Embolus – detached response to injury, clot resulting in decreased blood

 A heart attack can flow.

occur from blockage of blood vessels that

A platelet plug is supply blood to heart produced to seal

 Aspirin can be given off the wound to break down the

Serotonin is clot released to cause the blood vessels to constrict.

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