Chapter 10: BLOOD 10.1.1 - Describe the composition and volume of whole blood. Blood The only ___________ tissue in the human body Taste, Odor, 5x thicker than water Classified as a connective tissue Living cells = ___________ elements Non-living matrix = plasma (90% water) Physical Characteristics of Blood Color range Oxygen-rich blood is ___________ Oxygen-poor blood is ___________ pH must remain between 7.35–7.45 Slightly alkaline Blood temperature is slightly ___________ than body temperature 5-6 Liters or about 6 quarts /body Composition of Blood ___________ is plasma ___________ is formed elements (cells) 10.1.2 - Describe the composition of plasma and discuss its importance in the body. Blood Plasma Composed of approximately 90 percent ___________ Includes many dissolved substances Nutrients ___________ (metal ions) Ex._______ Respiratory gases (________________) Hormones Proteins, Waste products (urea, uric acid) Plasma Proteins Albumin – regulates ___________ pressure Clotting proteins – help to stem blood loss when a blood vessel is injured ___________ – help protect the body from antigens 10.1.3 - List the cell types making up the formed elements, and describe the major functions of each type. Formed Elements Erythrocytes = red blood cells Leukocytes = ___________ cells Platelets = cell fragments Erythrocytes (Red Blood Cells) The main function is to carry ___________ Anatomy of circulating erythrocytes Biconcave disks Essentially bags of ___________ Anucleate (no nucleus) Contain very few ___________ Outnumber white blood cells 1000:1 Hemoglobin ___________ -containing protein Binds strongly, but reversibly, to oxygen Each hemoglobin molecule has ___________ oxygen binding sites Each erythrocyte has 250 million hemoglobin molecules Leukocytes (White Blood Cells) Crucial in the body’s defense against ___________ These are complete cells, with a nucleus and organelles Able to move ___________ ___________ of blood vessels (diapedesis) Can respond to chemicals released by damaged tissues Leukocyte Levels in the Blood ___________ levels = 4,000 to 11,000 cells/ml Abnormal leukocyte levels ___________ Above 11,000 leukocytes/ml Generally indicates an infection Leukopenia Abnormally low leukocyte level Commonly caused by certain ___________ Types of Leukocytes Granulocytes ___________ in their cytoplasm can be stained Include neutrophils, eosinophils, and basophils Neutrophils Multilobed nucleus with fine granules Act as phagocytes at active sites of ___________ Eosinophils Large brick-red cytoplasmic granules Found in repsonse to ___________ and parasitic worms Basophils Have histamine-containing granules Initiate ___________ Agranulocytes ___________ visible cytoplasmic granules Include lymphocytes and monocytes Lymphocytes ___________ fills most of the cell Play an important role in the immune response Monocytes ___________ of the white blood cells Function as macrophages Important in fighting chronic infection Platelets Derived from ___________ multinucleate cells (megakaryocytes) Needed for the clotting process Normal platelet count = 300,000/mm3 10.1.4 - Define anemia, polycythemia, leukopenia, and leukocytosis, and list possible causes for each condition. Anemia a ___________ in the oxygen-carrying ability of the blood for any reason a lower-than-normal number of ___________ abnormal or deficient hemoglobin content in the RBCs such as sickle-cell anemia Polycythemia an excessive or abnormal ___________ in the number of erythrocytes may result from bone marrow cancer or a normal physiological response to living at ___________ where air is thinner and therefore less oxygen is available excessive RBCs increases blood viscosity causing it to flow sluggishly in the body and impairs circulation Leukocytosis a total WBC count above 11,000 cells/mm3 generally indicated that a ___________ ___________ infection is stewing in the body 10.1.5 - Explain the role of the hemocytoblast. Hematopoiesis – Blood Cell Formation Occurs in red bone marrow All blood cells are derived from a common stem cell ( ____________________ ) Fate of Erythrocytes Unable to divide, grow, or synthesize proteins Wear out in ___________ days When worn out, are eliminated by phagocytes in the spleen or liver Lost cells are replaced by division of stem cells Development differs for each type but once the cell is committed to a specific blood pathway, it cannot ___________ ___________ form two types of descendants that form all the other cells lymphoid stem cells that result in lymphocytes and ___________ stem cells that result in all other types 10.2.1 - Describe the ABO and Rh blood groups. 10.2.2 - Explain the basis for a transfusion reaction. Blood Groups and Transfusions Large losses of blood have serious consequences Loss of _______________ percent causes weakness Loss of over 30 percent causes shock, which can be fatal _______________ are the only way to replace blood quickly Transfused blood must be of the same blood group Human Blood Groups Blood contains genetically determined proteins A foreign protein (_______________ ) may be attacked by the immune system Blood is “typed” by using antibodies that will cause blood with certain proteins to_______________ (agglutination) There are over 30 common red blood cell antigens The most vigorous transfusion reactions are caused by _______________ blood group antigens ABO Blood Groups Based on the presence or absence of two ____________ Type A Type B The lack of these antigens is called _______________ ABO Blood Groups The presence of both A and B is called type ______ The presence of either A or B is called types A and B, respectively Rh Blood Groups Named because of the presence or absence of one of _______________ _________(agglutinogen D) Most Americans are Rh+ Problems can occur in mixing Rh+ blood into a body with ___________ blood Rh Dangers During Pregnancy Danger is only when the mother is Rh– and the father is Rh+, and the child inherits the ________ factor The mismatch of an Rh– mother carrying an Rh+ baby can cause problems for the unborn child The first pregnancy usually proceeds _______________ problems The immune system is _______________ after the first pregnancy In a second pregnancy, the mother’s _______________ system produces antibodies to attack the Rh+ blood (hemolytic disease of the newborn) Blood Typing Blood samples are mixed with anti-A and anti-B ____________ Coagulation or no coagulation leads to determining blood type Typing for ABO and Rh factors is done in the same manner Cross matching – testing for agglutination of donor RBCs by the recipient’s serum, and vice versa