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Venepuncture course Blood and its Components Rebecca Cachia Fearne Some characteristics of blood • Blood viscosity 4.5 – 5.5 (in comparison to water) • Blood temperature is 38 degrees Celsius • pH value of 7.35 – 7.45 • Salinity concentration of 0.90% • Blood constitutes 8% of total body weight • Blood volume average male: 5 – 6 litres average female: 4 – 5 litres Functions of Blood • Transportation (oxygen, carbon dioxide, nutrients, waste products, hormones, heat) • Regulation (of pH through buffers, body temperature, cellular water content – sodium pump mechanism) • Protection (clotting mechanism, phagocytosis, antibodies, interferon etc.) Components of Blood in a Normal Adult Formed Elements • Erythrocytes (RBC’s) • Leucocytes (WBC’s) – Granular Leucocytes - Granulocytes Neutrophils Eosinophils Basophils – Agranular Leucocytes - Agranulocytes Lymphocytes Monocytes • Thrombocytes - Platelets Where blood components can be found Erythrocytes • • • • • • • • • Red Blood Cells or corpuscles Biconcave discs Plasma membrane consists of protein and lipids Also encloses haemoglobin Antigens present on surface of cells to determine blood group Highly specialised for transport function The percentage of blood volume composed of red blood cells is called the “haematocrit.” The average hematocrit in an adult male is 47 percent. Cell life of about 120 days. Normal values Males: 5.4 million/cubic millimetre Females: 4.8 million/cubic millimetre Leucocytes • White blood cells • Do not contain haemoglobin and have a nucleus • Two major groups: Granular (develop from red bone marrow and are Neutrophils, Basophils and Eosinophils) Agranular (develop from lymphoid and myeloid tissue and are Lymphocytes and Monocytes) Leucocytes (characteristics continued) • Also have surface proteins (HLA) • These are unique for each person And are used to determine tissue compatibility between donor and recipient. Leucocyte functions • General function is that of phagocytosis or antibody production. • Phagocytosis – Neutrophils, Basophils, Eosinophils and Monocytes • Antibody production – Lymphocytes produce proteins that inactivate antigens or act as T cells. Leucocytes • Due to the dynamic nature of leucocytes, their life span is very short. • Leucocytes are far less numerous than RBC’s • Leucocytosis refers to an increased number of leucocytes. • Leucopenia refers to an abnormally low level of leucocytes Leucocyte type Neutrophils Eosinophils Basophils Lymphocytes Monocytes High Count Low Count Bacterial infections, burns, stress, inflammation Radiation, certain drugs, vitamin B12 deficiency, Systemic Lupus Erythematosus Allergic reactions, parasitic infections, autoimmune disease, adrenal insufficiency Certain drugs, stress, Cushing’s syndrome Allergic reactions, leukaemias, cancers, hypothyroidism Pregnancy, ovulation, stress, hyperthyroidism Viral infections, immune diseases, some leukaemias Prolonged severe illness, high steroid levels, immunosuppression Viral or fungal infections, TB, leukaemia's and chronic diseases This is very rare Thrombocytes • Also known as platelets • Break off from megakaryocytes in bone marrow and enter blood • Round or oval discs without a nucleus • They repair slightly damaged blood vessels and precipitate clotting • Short life span 5 – 9 days • 250,000 – 400,000 platelets present in each cubic millimetre of blood Plasma • When formed elements are removed from blood, straw-coloured liquid remains • Water composes 91.5% of plasma. 90% of which is absorbed through the GI tract and 10% from cellular respiration Plasma • Proteins in plasma (8.5%) can be divided into: Albumins (55%) Globulins (38%) Fibrinogen (7%) • Nonprotein nitrogen substances e.g. urea, uric acid, creatinine, creatine and ammonium salts Plasma • Food substances e.g. glucose, amino acids, fatty acids and glycerol • Regulatory substances e.g. enzymes and hormones • Respiratory gases e.g. oxygen and carbon dioxide • Electrolytes e.g. sodium, potassium, calcium, magnesium, chlorides, sulphates, Thank You