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Blood
Life-sustaining transport vehicle of the cardiovascular system.
Transport functions of Blood
Delivering O2 and nutrients to body cells, transporting metabolic wastes to lungs and kidneys for elimination, and transporting hormones from endocrine organs to target organs.
Regulation functions of Blood
Maintaining body temperature, normal pH, and adequate fluid volume.
Protection functions of Blood
Preventing blood loss and infection.
Plasma
Nonliving fluid matrix of blood.
Formed elements
Living blood cells suspended in plasma (erythrocytes, leukocytes, and platelets).
Erythrocytes
Red blood cells, ~45% of whole blood volume.
Hematocrit
Percent of blood volume that is RBCs.
Buffy coat
White blood cells and platelets, < 1% of whole blood volume.
Plasma constituents
Water, salts (electrolytes), plasma proteins (albumin, fibrinogen, globulins), nutrients, waste products, respiratory gases, and hormones.
Function of Water in Blood
Solvent carrying other substances.
Function of Salts (electrolytes) in Blood
Osmotic balance, pH buffering, regulation of membrane permeability.
Function of Albumin
Osmotic balance and pH buffering.
Function of Fibrinogen
Blood clotting.
Function of Globulins
Defense (antibodies) and lipid transport.
Function of Erythrocytes
Transport oxygen and help transport carbon dioxide.
Function of Leukocytes
Defense and immunity.
Function of Platelets
Blood clotting.
Erythrocytes
Small-diameter cells that contribute to gas transport.
Structural Characteristics of Erythrocytes
Biconcave disc shape, anucleate, essentially no organelles, filled with hemoglobin (Hb).
Hemoglobin
Binds reversibly with oxygen.
Hemoglobin composition
Red heme pigment bound to the protein globin (two alpha and two beta chains).
Erythropoiesis
Process of formation of RBCs.
Erythropoietin (EPO)
Hormone that stimulates formation of RBCs.
Leukocytes
Only formed element that is complete cell with nuclei and organelles.
Function of Leukocytes
Defense against disease.
Leukocytosis
WBC count over 11,000 per µl.
Granulocytes
Contain visible cytoplasmic granules (neutrophils, eosinophils, basophils).
Agranulocytes
Do not contain visible cytoplasmic granules (lymphocytes, monocytes).
Hemostasis
Fast series of reactions for stoppage of bleeding.
Three steps of Hemostasis
Vascular spasm, platelet plug formation, coagulation (blood clotting).
Vascular spasm
Smooth muscle contracts, causing vasoconstriction.
Platelet plug formation
Platelets release chemicals that make nearby platelets sticky; platelet plug forms.
Coagulation
Fibrin forms a mesh that traps red blood cells and platelets, forming the clot.
Human blood groups
A, B, AB, or O and an Rh factor (positive or negative).
Transfusion reactions
Mismatched transfused blood is perceived as foreign and may be agglutinated and destroyed.
ABO blood groups
RBC membranes bear different antigens (agglutinogens) that promote agglutination.
ABO blood groups antigens
Type A has only A agglutinogen, Type B has only B agglutinogen, Type AB has both A and B agglutinogens, Type O has neither A nor B agglutinogens.
ABO blood groups antibodies
Anti-A or anti-B antibodies (agglutinins) act against transfused RBCs with ABO antigens not present on recipient's RBCs.
Type O universal donor
No A or B antigens.
Type AB universal recipient
No anti-A or anti-B antibodies.
Rh blood groups
C, D, and E are most common; Rh+ indicates presence of D antigen.
Rh blood groups implications
Anti-Rh antibodies form if Rh– individual receives Rh+ blood, or Rh– mom is carrying Rh+ fetus; second exposure to Rh+ blood will result in typical transfusion reaction.
Diagnostic Blood Tests
Low hematocrit seen in cases of anemia, blood glucose tests check for diabetes, leukocytosis can signal infection.