Introduction to Blood
Blood is connective tissue. (True)
Blood can be synthetically produced. (False)
Blood is brighter red in color when it has lots of oxygen. (True)
Blood is mostly water. (True)
Blood helps protect the body from infection. (True)
Adults have 5 liters of blood. (True)
Nutrient transport
Oxygen delivery to tissues
Carbon dioxide removal
Immune function
Blood clotting and regulation of body temperature
Plasma (55%)
Fluid component of blood
Buffy Coat (<1%)
Contains leukocytes (white blood cells) and platelets
Erythrocytes (45%)
Red blood cells (RBCs)
Pale yellow color, primarily composed of water
Functions include:
Transporting nutrients, gases, hormones, ions, and waste products
Plasma proteins:
Albumin regulates fluid volume
Antibodies protect against pathogens
Clotting factors prevent excessive blood loss
Serum is plasma minus clotting proteins
Types of stem cells in blood formation:
Proerythroblast (RBC)
Myeloblast (Granulocytes)
Lymphoblast (Lymphocytes)
Monoblast (Monocytes)
Megakaryoblast (Platelets)
Overview: Blood cells originate from stem cells in the bone marrow
Characteristics:
Disc-shaped, no nucleus
Contain hemoglobin for oxygen transport
Lifespan: 120 days, recycled by spleen
Increased production of RBCs triggered by:
Erythropoietin (hormone) from kidneys
Stimulates red bone marrow for RBC synthesis
5 types of WBCs, primary function:
Protect body from infections and harmful invaders
Migrate from blood to lymph tissue or infection sites
Granulocytes:
Neutrophils (55-70%) - Phagocytosis
Eosinophils (1-3%) - Allergic responses
Basophils (0-1%) - Inflammatory responses and heparin release
Agranulocytes:
Lymphocytes (25-38%) - Immune response
Monocytes (3-8%) - Phagocytosis
Function:
Form platelet plugs in damaged blood vessels to initiate clot formation
Case Study: Bronson, 9 years old, undergoing chemotherapy:
Condition leading to decreased blood cell production
Associated conditions:
Anemia: fatigue from lack of oxygen
Leukopenia: increased infection risk
Thrombocytopenia: prolonged bleeding
Definition of hemostasis
Importance in the prevention of blood loss
Pathways:
Intrinsic pathway activated by damaged surfaces
Extrinsic pathway initiated by tissue factor
Common pathway:
Converts prothrombin to thrombin, leading to fibrin formation
Stage I: Injury to vessel leads to platelet activation
Stage II: Prothrombin (II) activation
Stage III: Conversion of fibrinogen to fibrin that forms a blood clot
Injury causes bleeding
Blood vessel muscles spasm
Platelets adhere to tissue
Prothrombin activator forms
Thrombin activates fibrinogen
Clotting factors are activated
Fibrin mesh traps RBCs
Blood types include A+, B+, AB+, A-, B-, AB-, O+, O-
Group A: A antigen, Anti-B antibodies
Group B: B antigen, Anti-A antibodies
Group AB: A and B antigens, no antibodies
Group O: No antigens, Anti-A and Anti-B antibodies
Compatibility based on blood group antigens and antibodies
Transfusion safety considerations
Rh positive: if RBCs have Rh antigen
Rh negative: if RBCs lack Rh antigen
Effects of mixing incompatible blood types
Risk of agglutination and hemolysis
Overview of the respiratory system and its significance
Provides oxygen to the body
Removes carbon dioxide
Maintains pH balance
Upper respiratory tract: Organs outside the chest cavity
Lower respiratory tract: Organs inside the chest cavity
Elastic tissue stretches during inhalation and recoils during exhalation
Importance of elasticity for lung function
Surfactants reduce surface tension in alveoli, preventing collapse
Parietal pleura: Lines chest cavity
Visceral pleura: Covers lungs
Intrapleural space: Contains pleural fluid, reducing friction
Concept of intrapleural pressure and its role in lung inflation
Mechanism of a collapsed lung
Purpose and function of chest tube insertion
Ventilation: Inhalation and exhalation
Gas exchange: At lungs and tissue levels
Transport of gases: Via bloodstream
Mechanism of thoracic cavity expansion and contraction during breathing
Definitions of lung volumes:
Tidal volume: Air moved in one breath
Tidal Volume; Air moved in one breath
Insipiratroy reserve volume: forceful inhalation
iExpiratiory reserve volume: forceful exhalation
residual volue: Air remaining after exhalation
Inspiratory reserve volume: Forceful inhalation
Expiratory reserve volume: Forceful exhalation
Residual volume: Air remaining after exhalation
Match lung volumes to definitions:
Tidal Volume
Inspiratory Reserve Volume
Expiratory Reserve Volume
Residual Volume
Factors affecting respiratory rate:
Normal resting respiratory rate for adults
Location of respiratory control center
Stimuli for respiratory rate changes
Involvement of inspiratory and expiratory neurons
Medulla's role in controlling the breathing cycle
Mechanism of gas exchange in the lungs and tissues
Partial pressures of O2 and CO2 at different locations
Exchange of gases between blood and alveoli
Importance of membrane integrity for effective gas exchange
Body's response to increased CO2 levels
Role of chemoreceptors in respiration regulation
Effects of increased CO2 levels on respiration
Mechanism of respiratory control in chronic conditions (e.g., emphysema)
Oxygen: 98% bound to hemoglobin, 2% dissolved in plasma
Carbon Dioxide: 20% bound to hemoglobin, 10% dissolved in plasma, 70% converted to bicarbonate
Match steps in respiration with definitions:
O2 transport to tissues
Nerve impulses travel during respiration
Air movement into lungs
Gas exchange in tissues and alveoli.