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Name:_________________________ Blood Notes Packet 12.1 Introduction Blood transports substances and maintains homeostasis in the body Hematophobia = fear of blood 12.2 Blood and Blood Cells What's in Blood? - blood is a type of connective tissue, composed of scattered cells within a noncellular matrix (fluid). Composed of 2 basic components 1. Cells (rbc, wbc, platelets) - 45% 2. Plasma (water, amino acids, proteins, carbohydrates, lipids, vitamins, hormones, electrolytes, cellular waste) - 55% Hematocrit - volume of blood in a sample, should be 45%. The remaining fluid is plasma (55%). To determine the percentages, blood is placed in a centriguge Types of Blood Cells red blood cells (erythrocytes) white blood cells (leukocytes) platelets (thrombocytes) RED BLOOD CELLS (erythrocytes) - Shape is biconcave discs - 5 million per cubic millimter (RBCC = red blood cell count, amount of blood cells in a cubic millimeter) - lacking nuclei, they will not divide. Blood cells are formed in the bone marro = Hematopoeisis. - blood cells live for about 120 days, then are phagocytized by the liver and spleen Main Functions - transports O2 throughout body, and picks up CO2 - Hemoglobin = molecule which combines with O2 to transport it Oxyhemoglobin - plenty of oxygen, bright red Deoxyhemoglobin - not carrying much O2, "bluish red" Name:_________________________ Iron is a critical element needed to synthesize hemoglobin and normal RBC. Anemia = too few RBC A hormone secreted by the kidneys called Erythropoietin stimulates the formation of RBC. Process requires Vitamin B12 and Folic Acid WHITE BLOOD CELLS (Leukocytes) General function - defend the body against disease-causing agents (microorganisms) Granulocytes (granular cytoplasm) Agranulocytes (lacking granular cytoplasm) 1. Neutrophils very active in phagocyting bacteria and are present in large amount in the pus of wounds, most common, 60% WBC 2. Eosinophils attack parasites, control allergic reaction; 2% WBC 3. Basophils produces Heparin (prevents blood clots) and Histamines (causes inflammatory reaction); less then 1% WBC Inflammatory Reaction = blood vessels dilate, fluid accumulation and swelling, attraction of WBCs. At the site of an infection, dead and damage leukocytes, bacteria and body cells accumulate = pus 4. Monocytes precursors of macrophages, phagocytes; 6% 5. Lymphocytes main constituents of the immune system which is a defense against the attack of pathogenic microorganisms such as viruses, bacteria, fungi and protista. Lymphocytes yield antibodies and arrange them on their membrane; 30% PLATELETS (thrombocytes) - help initiate formation of blood clots, close breaks in damaged blood vessels Name:_________________________ 12.3 Blood Plasma - the liquid portion of the blood, 92% water - transport nutrients, gases, vitamins, maintain fluid and electrolyte balance, and pH Plasma Proteins 1. Albumins - made in liver, maintain osmotic pressure and blood volume (blood pressure) 2. Globulins - 3 groups: alpha, beta, gamma a. alpha & beta globulins - from liver, transport lippids and fat-soluble vitamins b. gamma globulins - from lymphatic tussies, antibodies for immunity 3. Fibrinogen - from liver, largest molecules of plasma proteins - important for blood clotting. Major event in blood clotting is the changie of fibrogen into fibrin 12.4 Hemostasis - the process of stopping bleeding. 3 Key Events - Coagulation causes the formation of a blood clot. 1. Blood vessel spasm - damaged or broken vessels stimule muscle tissue in the walls of the blood vessels to contract. This slows or stops blood flow, lasts for several minutes. Also, platelets release serotonin, a vasoconstrictor which maintains the muscle spasm even longer. 2. Platelet plug formation - platelets stick to surfaces of damaged blood vessels and to each other to form a "plug" 3. Blood coagulation - most effective, forms a blood clot (hematoma). Injury causes an increase in the release of coagulants. Main event - conversion of fibrinogen into long protein threads called fibrin. Tissue damage = prodction of prothrombin activator (calcium ions must be present) Prothrombin - converted to thrombin Thrombin acts as a enzyme to cause change of fibrinogen to fibrin, which trap platelets and blood cells to form a hematoma Thrombus = a blood clot abnormally forming in a vessel Embolus = when the clot moves and becomes lodged in another place Name:_________________________ Blood Crossword Down 1. 2. 3. 4. 6. 7. 9. 11. 13. 16. 19. 20. causes vasospasm "bleeder's disease" low red blood cell count cancer of the blood thrombocytes (common word) clear, liquid portion of blood cell that "eats" other cells circulate in body and attach to foreign substances the process where bleeding is stopped cell surface markers Movie: My ___ Valentine organ that breaks down old, worn out blood Across 2. 5. 8. 10. 12. 14. 15. 17. 18. 21. 22. binds to oxygen red blood cells percentage of blood cells and plasma in sample wbc that attacks parasites where new blood cells are created shape of a red blood cell clumping of blood cells from an immune response queen thought to be original carrier of hemophilia abnormal blood clot plasma protein that is converted to fibrin disease that causes rbc's to be abnormally shaped: __ Cell Disease 23. white blood cells 24. wbc's that produce antibodies Name:_________________________ BLOOD DISORDERS ANEMIA o Iron-Deficiency Anemia (most common) o Aplastic Anemia - bone marrow does not produce enough RBC o Hemorrhagic anemia - due to extreme blood loss o Pernicious anemia - B12 deficiency o Sickle Cell Anemia (genetic) LEUKEMIA o Type of cancer o Overproduction of immature white blood cells o They take the place of RBCs o Treatable with bone marrow transplants, chemothemotherapy, radiation INFECTIOUS MONONUCLEOSIS Sometimes called "mono" or "the kissing disease," is an infection usually caused by the Epstein-Barr virus (EBV). EBV is very common, and many people have been exposed to the virus at some time in childhood. BLOOD POISONING - SEPTICEMIA o An infection enters the blood stream, can be deadly o Treated with antibiotics THROMBOCYTOPENIA o Low production of Platelets, Causing bleeding or bruising The Genetics of Sickle Cell Anemia Genetic Disorder, Abnormally shaped blood cells Parents can be carriers (asymptomatic) Sickle Cell Anemia is actually codominant AA = normal Aa = sickle cell trait (few symptoms) aa = sickle cell anemia Symptoms and Complications of Sickle Cell Anemia: pain, lethargy, anemia, organ failure, stroke Name:_________________________ The Genetics of Hemophilia Hemophilia is sex-linked, meaning it is carried on the X chromosome. Females can be normal, carriers, or have the disease Males can be normal or have the disease, but they cannot be carriers because they only have a single X chromosome. (Males are XY, females are XX) When a female with hemophilia has children, she will pass the gene to each of her sons. This shows a cross between a female who is a carrier and a normal male. Name:_________________________ Genetics of Blood Disorders SHOW ALL WORK! 1. If a female is a carrier for hemophilia X H X h and is married to a man with hemophilia X h Y , what is the probability that she will have a daughter with hemophilia? 2. A normal female marries a man who has hemophilia . (You’ll need to figure out the genotypes). What percentage of their sons will have hemophilia? 3. If a female has hemophilia and is married to a normal man..... What percentage of her sons will have hemophilia? What percentage of her daughters will have hemophilia? 4. A woman with sickle cell anemia is married to a man who is a carrier for the trait. ( a a x A a). What is the chance of their children having sickle cell anemia? 5. What is the chance that two people (both being carriers for sickle cell anemia) will have a child with the disease? 6, What is the chance that a female who is a carrier for sickle cell anemia will have a child with sickle cell anemia if she marries a normal man? 7. Von Willebrand Disease is an autosomal dominant disorder (not located on the sex chromosomes) where blood will not clot properly. What would be the two possible genotypes of a person who has the disorder? If a person is heterozygous for the trait (having the disease) is married to a normal spouse (dd), what is the chance that their children will have the disorder. Name:_________________________ BLOOD TYPING 1901 - Austrian Karl Landsteiner discovered human blood groups Blood Type is Controlled by 3 Alleles Alleles: A, B, O A & B are codominant O is recessive Blood Transfusions Blood that has antibodies on it that is not recognized by the body will be attacked by your immune system O is the Universal Donor because a person with this type of blood does not have antigens on the surface of the blood cells - hence will not cause an immune reaction in the patient. AB is the universal Acceptor because this person will not have an immune reaction to A, B, AB, or O *Just remember, the antigens on the surface of your cells (or donated cells) will cause a reaction if your immune system does not recognize them as being part of you. Hence, if you are Type A, and transfused with Type B, your body will mobilize a massive immune response against the "invading" blood. This will cause coagulation of blood and death. ----- AGGLUTINATION (the clumping of red blood cells following a transfusion reaction; fatal Rh Factor (Rh = rhesus monkey) A person can have surface Rh antigens (and be Rh +) or no antigens (and be Rh - ) Rh factor is caused by a dominant likely Name:_________________________ allele and is inherited like any other trait. Problem: When a fetus is Rh+ and the mother is Rh-, this can cause the mother's immune system to attack the fetus. There are drugs that will suppress this reaction. *This condition is called Erythroblastosis fetalis . Doctors can prevent this reaction by giving the woman an injection that will suppress her immune reaction. Blood Safety Blood can carry diseases and health care professionals must be careful when working with blood. A bloodborne pathogen is any disease causing agent that is present in the blood and can be transferred from one person to another. HEPATITIS B (HBV) HEPATITIS C (HCV) HUMAN IMMUNODEFICIENCY VIRUS (HIV) MALARIA Testing Your Blood A test kit can be used to test your blood type. It involves pricking your finger and placing a drop of blood on a card that will react to a serum on the card that contains antibodies. You will be given the opportunity to test your blood type using this technique. Name:_________________________ Blood Type Problems 1. List all the possible genotypes for each of the 4 blood types: Type O ____________ Type A ____________ Type B ____________ Type AB ____________ SHOW WORK! 2. A man with AB blood is married to a woman with AB blood. What blood types will their children be and in what proportion? 3. A man who has type B blood (genotype: BB) is married to a woman with type O blood. What blood type will their children have? 4. A woman with type A blood (genotype: AO) is married to a type B person (genotype: BO). What blood types will their children have? 5. A woman with type A blood is claiming that a man with type AB blood is the father of her child, who is also type AB. Could this man be the father? Show the possible crosses; remember the woman can have AO or AA genotypes. 6. A man with type AB blood is married to a woman with type O blood. They have two natural children, and one adopted child. The children's blood types are: A, B, and O. Which child was adopted? 7. A person with type A blood (unknown genotype) marries a person with type O blood. What blood types are possible among their children. (Show 2 crosses Name:_________________________ 8. Two people, both with AB blood have four children. What blood types should the children be? 9. A person with type B blood (genotype BO) has children with a type AB person. What blood types are possible among their children? 10. A person with type O blood is married to a person with type A blood (unknown genotype). They have 6 children, 3 of them have type A blood, three of them have type O blood. What is the genotype of the two parents? 11. A person has type B blood. What are ALL the possible blood types of his parents. Show the crosses to prove your answer. 12. A man of unknown genotype has type B blood, his wife has type A blood (also unknown genotype). List ALL the blood types possible for their children. (you may need to do multiple crosses to consider the different possible genotypes of the parents) 13. Two people with type O blood have three children. How many of those three children also have type O blood? 14. Why is a person with type O blood called a “universal donor”? 15. Why is a person with type AB blood called a “universal acceptor”? Name:_________________________ Blood Study Guide 1. Describe a blood sample (with percentages) 2. Describe the shape of a blood cell. 3. List and describe types of white blood cells (both common and medical names) 4. What are platelets? 5. Describe the events in blood clot formation. 6. List the 4 blood types and their associated genotypes. 7. Describe how antibodies and antigens work (related to blood transfusions) 8. What is plasma and what is it composed of? 9. What is sickle cell anemia? How is it inherited (genetics)? 10. What is hemophilia? How is it inherited (genetics)? 11. What is the Rh factor? How can it affect a pregnancy? 12. What is leukemia? 13. What is anemia (general)? 14. What is septicemia? 15. What causes coagulation? What chemical prevents it? 16. What organ removes damaged or old blood cells? 17. List the plasma proteins. 18. What are blood-borne pathogens? 19. Be able to do a variety of genetic crosses (punnett squares) to show what blood types are possible. Ex. AB x O 20. Describe the events of hemostasis. Name:_________________________ WORD BANK red blood cells | homeostasis | albumins |biconcave disc | bone marrow | transport nutrients | hemoglobin | monocytes | defend against diseases | plasma | leukocytes | spleen | phagocytes | inflammatory reaction | water | platelets | hematopoeisis | eosinophils | oxygen | nucleus | hemostasis | globulins | antibodies