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Plasma (55%) + formed elements ((RBCs, WBCs, platelets 45%))
The main components of blood
Transport (O₂, nutrients), Regulation (temp, pH, fluid), Protection (clotting, immunity)
The three main functions of blood
plasma
Made up of ~90% water + proteins (albumin, globulins, fibrinogen) + nutrients, electrolytes, wastes, gases
albumin
Maintains osmotic pressure and blood volume
Erythrocyte (RBC)
Biconcave discs without nucleus → large surface for gas exchange
Hemoglobin (Hb)
This protein carries oxygen; 4 heme + globin; iron binds O₂; oxyHb = bright red, deoxyHb = dark red
hematocrit
% of blood volume made of RBCs (~45%)
Erythropoietin (EPO)
This hormone controls RBC production; Comes from kidneys and stimulates red bone marrow
Erythrocyte (RBC)
This cell lives for ~120 days; destroyed by macrophages; heme → iron (recycled) + bilirubin (excreted in bile)
Leukocyte (WBC)
This cell defends against infection and disease
Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils
Mnemonic for leukocytes in terms of abundance: “Never Let Monkeys Eat Bananas” means
Neutrophil
These leukocytes phagocytize bacteria (first responders)
Eosinophil
These leukocytes kill parasites; involved in allergy and asthma response
Basophil
These leukocytes release histamine and heparin during inflammation
Lymphocyte
These leukocytes mount immune response via T cells or B cells (antibody production)
Monocyte
These leukocytes become macrophages for phagocytosis of pathogens and debris
platelets
These are cell fragments from megakaryocytes
platelets
These fragments form a temporary plug and initiate clotting
hemostasis
The process to stop bleeding:
Vascular spasm
Platelet plug
Coagulation
Vascular spasm
First step of hemostasis
Platelet plug
Second step of hemostasis
Coagulation
Third step of hemostasis
Calcium (Ca²⁺)
Ion that is essential for clotting
Natural anticoagulants
This prevents over-clotting; Heparin, antithrombin, and protein C
fibrinolysis
Breakdown of fibrin clot by plasmin
Rh factor
Rh⁺ has D antigen; Rh⁻ lacks → important in pregnancy (HDN)
anemia
Low RBC count, low hemoglobin, or defective Hb (e.g., sickle cell, iron deficiency) leads to this
polycythemia
Excess RBCs → ↑ viscosity; can occur at high altitudes
leukemia
Cancer of leukocytes producing immature non-functional cells
Complete blood count (CBC)
Anemia, infection, clotting issues, immune status is revealed by this
chemotherapy
This treatment destroys rapidly dividing cells → ↓ RBCs, WBCs, platelets.
transfusion reaction
Incompatible blood causes agglutination and hemolysis → renal failure/shock
4.5–5.5 mil/µL
Normal values of erythrocytes
4.8–10.8 k/µL
Normal values of leukocytes
150–400 k/µL
Normal values of platelets
7.35–7.45
Normal values of pH