Physical Characteristics of BloodPhysical Characteristics of Blood
Color range
Oxygen-rich blood is scarlet red
Oxygen-poor blood is dull red
pH must remain between 7.35–7.45
Blood temperature is slightly higher than
body temperature
Blood PlasmaBlood Plasma
Slide 10.3
Composed of approximately 90 percent
water
Includes many dissolved substances
Nutrients
Salts (metal ions)
Respiratory gases
Hormones
Proteins
Waste products
Plasma ProteinsPlasma Proteins
Slide 10.4
Albumin – regulates osmotic pressure
Clotting proteins
- help to stem
blood loss when
a blood vessel
is injured
Antibodies
- help protect
the body from
antigens
Formed ElementsFormed Elements
Erythrocytes = red blood cells
Leukocytes = white
blood cells
Platelets =
cell fragments
Erythrocytes (Red Blood Cells)Erythrocytes (Red Blood Cells)
The main function is to carry oxygen
Anatomy of circulating erythrocytes
Biconcave disks
Essentially bags of hemoglobin
Anucleate (no nucleus)
Contain very few organelles
Outnumber white blood cells 1000:1
HemoglobinHemoglobin
Iron-containing protein
Binds strongly, but reversibly, to oxygen
Each hemoglobin molecule has four
oxygen binding sites
Each erythrocyte has
250 million
hemoglobin
molecules
Sickle Cell AnemiaSickle Cell Anemia
A substitution mutation
of a single base in the
gene for the protein
hemoglobin replaces
glutamic acid with
valine. As a result red
blood cells sickle and
clog small blood
vessels.
Sickle Cell AnemiaSickle Cell Anemia
Sickle cell anemia
occurs chiefly in black
people who live in the
malaria belt in Africa
and their descendants.
Anopheles mosquito carries
the malaria parasite.
Blood Type
ABO Blood Groups
Link to Wikipedia prevalence chart
Agglutination
Rh factor
Whole Blood Transfusions
Plasma Transfusions
Leukocytes (White Blood Cells)Leukocytes (White Blood Cells)
Crucial in the body’s defense against
disease
These are complete cells, with a
nucleus and organelles
Able to move into and out of blood
vessels (diapedesis)
Can move by ameboid motion
Can respond to chemicals released by
damaged tissues
Leukocyte Levels in the BloodLeukocyte Levels in the Blood
Normal levels are between 4,000 and
11,000 cells per millimeter
Abnormal leukocyte levels
Leukocytosis
Above 11,000 leukocytes/ml
Generally indicates an infection
Leukopenia
Abnormally low leukocyte level
Commonly caused by certain drugs
Types of LeukocytesTypes of Leukocytes
Granulocytes
Granules in their
cytoplasm can be
stained
Include
neutrophils,
eosinophils, and
basophils
Types of LeukocytesTypes of Leukocytes
Agranulocytes
Lack visible
cytoplasmic
granules
Include
lymphocytes and
monocytes
GranulocytesGranulocytes
Neutrophils
Multilobed nucleus with fine granules
Act as phagocytes at active sites of infection
Eosinophils
Large brick-red cytoplasmic granules
Found in repsonse to allergies and parasitic
worms
AgranulocytesAgranulocytes
Lymphocytes
Nucleus fills most of the cell
Play an important role in the immune
response
Monocytes
Largest of the white blood cells
Function as macrophages
Important in fighting chronic infection
PlateletsPlatelets
Derived from ruptured multinucleate
cells (megakaryocytes)
Needed for the clotting process
Normal platelet count = 300,000/mm
3
HemophiliaHemophilia
Inherited disorder that results in diminished
clotting ability
Even small cuts can be
life-threatening; plasma
transfusions are necessary
Genes involved in blood
clotting are on the
X-chromosome
Occurs more frequently
among boys
HematopoiesisHematopoiesis
Blood cell formation
Occurs in red bone marrow
All blood cells are derived from a
common stem cell (hemocytoblast)
Hemocytoblast differentiation
Lymphoid stem cell produces lymphocytes
Myeloid stem cell produces other formed
elements
Fate of ErythrocytesFate of Erythrocytes
Unable to divide, grow, or synthesize proteins
Wear out in 100 to 120 days
When worn out, are
eliminated by
phagocytes in the
spleen or liver
Lost cells are replaced
by division of
hemocytoblasts
Control of Erythrocyte ProductionControl of Erythrocyte Production
Rate is controlled by a hormone
(erythropoietin)
Kidneys produce most erythropoietin as
a response to reduced oxygen levels in
the blood
Homeostasis is maintained by negative
feedback from blood oxygen levels
Control of Erythrocyte ProductionControl of Erythrocyte Production
Figure 10.5
Control of BleedingControl of Bleeding
Loss of too much blood leads to hypoperfusion, AKA shock.
The signs of Shock:
1.Altered mental status (e.g. anxiety,
restlessness, combativeness)
2.Pale, cool, clammy skin
3.Nausea and vomiting
4.Vital signs change
a.Pulse increases, becoming weak and thready
b.Respirations increase, becoming shallow and
labored
c.Blood pressure drops
d.Other signs include thirst, dilated pupils, and
cyanosis
Control of BleedingControl of Bleeding
To Stop Bleeding:
1.Apply direct pressure to the site of bleeding.
2.Elevate the wound above the level of the heart (if
possible)
3.Pressure points: Arms=brachial artery,
Legs=femoral artery
4.Cold application (in
conjunction with other
techniques)
5.Tourniquet (this is a last
resort)
Control of BleedingControl of Bleeding
Hemostasis – phases are completed within 3-6 minutes
after vessels are broken.
1.Platelet plug formation – platelets, normally repelled by
endothelium, become sticky and cling to exposed collagen
fibers. A platelet plug (AKA white thrombus) forms
2.Vascular spasms – anchored platelets release serotonin,
which causes the tunica media in blood vessels to spasm,
decreasing blood flow locally.
3.Coagulation – (a) injured tissue releases thromboplastin, (b)
a phospholipid on the surface of platelets, PF
3, interacts with
thromboplastin initiating the clotting cascade.
4.Fibrin precipitates – an enzyme in the blood plasma, called
thrombin (converted from prothrombin), joins soluble
fibrinogen into long fibrin molecules.