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PowerPoint® Lecture Slides prepared by Janice Meeking, Mount Royal College CHAPTER 17 Blood Modified by: Olga E. Vazquez Copyright © 2010 Pearson Education, Inc. Cardiovascular System • Cardio = heart • Vascular = blood vessels • Consists of three interrelated components: • Blood • Heart • Blood vessels • We will now examine the blood. Copyright © 2010 Pearson Education, Inc. Topics Discussed Today • Blood as connective tissue • Physical characteristics and volume of blood • Functions of blood • Blood components • Plasma • Formed elements • Hematopoiesis Copyright © 2010 Pearson Education, Inc. Blood • Blood is unique from person to person • Health care professionals routinely examine and analyze its differences through various blood tests to determine the causes of different diseases. • Hematology = study of blood Copyright © 2010 Pearson Education, Inc. Blood: An Overview • Blood is the only fluid tissue in the body. • Even though it might seem like a homogeneous liquid, the microscope reveals 2 components: • Cellular component • Liquid component • What type of tissue is blood classified as? Copyright © 2010 Pearson Education, Inc. Blood: An Overview • Blood is a specialized type of connective tissue in which living blood cells, the formed elements (cells), are suspended in a nonliving fluid matrix called plasma. Copyright © 2010 Pearson Education, Inc. Blood: An Overview • Blood cells carry oxygen and nutrients to our body’s tissues, and remove Carbon Dioxide and other wastes, and take them to places to be removed from the body. Copyright © 2010 Pearson Education, Inc. Physical Characteristics and Volume • Total blood volume: 8% of body weight • Average volume in healthy males: • 5-6 L (~ 1.5 gallons) • Average volume in healthy females: • 4-5 L (1.05 to 1.32 gallons) Copyright © 2010 Pearson Education, Inc. Physical Characteristics and Volume • Blood is more dense than water and about 5 times more viscous. Why? Copyright © 2010 Pearson Education, Inc. Functions • Blood performs a number of functions, all concerned in one way or another with: • Distribution • Regulation • Protection Copyright © 2010 Pearson Education, Inc. Functions • There are six functions: 1. Transportation • O2 lungs → cells • CO2 cells → lungs • Nutrients → cells • waste from cells → kidneys (excretion!) Copyright © 2010 Pearson Education, Inc. Functions 2. Defense • White blood cells – fight disease • blood proteins – antibodies (identification) Copyright © 2010 Pearson Education, Inc. Functions 3. Temperature regulation - absorbs and distribute heat throughout body and skin 4. Prevents loss of blood – blood clots 5. Hormone movement – endocrine gland → cells 6. Regulates pH (our acid/base balance in our bodies) – through buffers Copyright © 2010 Pearson Education, Inc. Components of Blood • If a sample of blood is spun in a centrifuge, the heavier formed elements are packed down by centrifugal force and the less dense plasma remains at the top. Copyright © 2010 Pearson Education, Inc. Components • Bottom – erythrocytes (what are they?) • Erythro = red • Buffy coat – whitish layer present at the erythrocyteplasma junction • Contains platelets and leukocytes (white blood cells) • Plasma Copyright © 2010 Pearson Education, Inc. Plasma • Makes up 55% of blood • Although is made up of about 90% water, plasma contains over 100 different dissolved solutes including gases, hormones, waste, etc. Copyright © 2010 Pearson Education, Inc. Plasma • Contains proteins • Contains electrolytes • Contains wastes to be taken away • Contains water Copyright © 2010 Pearson Education, Inc. Components of Whole Blood Copyright © 2010 Pearson Education, Inc. Formed Elements • The formed elements are present in the buffy coat and the bottom red layer. • In other words the formed elements are the red blood cells, white blood cells, and platelets (platelets help form clots) Copyright © 2010 Pearson Education, Inc. Components of Whole Blood Copyright © 2010 Pearson Education, Inc. Figure 17.2 Formed Elements • These cells have unusual features. • Two of the three are not even true cells. Why? • RBC’s have no nuclei or organelles, and platelets are cell fragments. Only leukocytes are true cells • Most of the formed elements survive in the bloodstream for only a few days. • Most blood cells do not divide. Copyright © 2010 Pearson Education, Inc. Formed Elements • Erythrocytes normally constitute 45% of the total volume of blood. • This percentage is known as hematocrit (“blood fraction”). • In males and females, this percentage might differ: • males: 47% ± 5% • females: 42% ± 5% Copyright © 2010 Pearson Education, Inc. Formed Elements • RBC or erythrocytes are involved in gas transport • Carry O2 • Carry 20% of CO2 Copyright © 2010 Pearson Education, Inc. Formed Elements • WBC or leukocytes have many specialized functions. Together with platelets, leukocytes contribute less than 1% of blood volume. • Immunity • T cells, B cells, neutrophils, macrophages • Most abundant – neutrophils Copyright © 2010 Pearson Education, Inc. Formed Elements • Platelets • Cell fragments • Encourage clot formation Copyright © 2010 Pearson Education, Inc. Formed Elements Formation • Hematopoiesis (hemato = blood, poiesis = to make) • Process in which formed elements of the blood develop • Erythropoiesis • Leukopoiesis • Before birth it occurs • Yolk sac • Later in the liver, spleen, thymus and lymph nodes • Last 3 months of gestation in the red bone marrow Copyright © 2010 Pearson Education, Inc. Hematopoiesis • During childhood (up to 5 years) occurs in the epiphysis of almost all long bones. • In adults it occurs also in flat and irregular bones such as the skull, sternum, hip bone, ribs, and vertebra. • Formed element production in adult’s long bones occurs in the humerus and femur. Copyright © 2010 Pearson Education, Inc. Checking Understanding • Explain why blood is classified as a connective tissue • What is the average blood volume in human adult? • What are the two components of the blood? • Why blood is more viscous than water? • List three major functions of blood and provide an example of each. • Name the formed elements. Why are they elements instead of cells? • What is the hematocrit? What is the normal value? Copyright © 2010 Pearson Education, Inc. Red Blood Cells • Erythrocytes • Erythro = • Cyte = • The erythrocyte is an excellent example of complementarity of structure and function. • Each structural characteristic contributes to its gas transport functions. Copyright © 2010 Pearson Education, Inc. Structural Characterstics • Its small size and biconcave shape provides 30% more surface area than other spherical cells. Why is this important? Copyright © 2010 Pearson Education, Inc. Structural Characteristics • No nucleus (anucleate) or organelles • The red blood cell carries a protein called “hemoglobin” that carries the oxygen to our body parts. • Hemoglobin is made partly with iron. Copyright © 2010 Pearson Education, Inc. Structural Characteristics • Major function of RBC is to transport hemoglobin. • Erythrocytes are over 97% hemoglobin. This is why RBC could be called “bags” of hemoglobin. Copyright © 2010 Pearson Education, Inc. Hemoglobin • It’s the protein that makes RBC red. • Binds easily and reversibly to oxygen • Oxygen moves in the blood bound to hemoglobin • Normal values of hemoglobin • 14-20 g/100ml in infants • 13-18 g/100ml in adult males • 12-16 g/100ml in adult females Copyright © 2010 Pearson Education, Inc. Hemoglobin • A single RBC contains about 250 million hemoglobin molecules. • So, each RBC can hold about 1 billion molecules of O2. Copyright © 2010 Pearson Education, Inc. Erythropoiesis • Erythropoiesis needs to be controlled so there is a balance between RBC production and destruction. • New cells are made at a rate of more than 2 million per second in healthy people. Copyright © 2010 Pearson Education, Inc. Erythropoietin • Hormone effects: • Hormones produced in the kidney and liver • Stimulates red bone marrow to increase rate of cells Copyright © 2010 Pearson Education, Inc. Homeostasis: Normal blood oxygen levels 1 Stimulus: Hypoxia (low blood O2- carrying ability) due to • Decreased RBC count • Decreased amount of hemoglobin • Decreased availability of O2 Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 1 Homeostasis: Normal blood oxygen levels 1 Stimulus: Hypoxia (low blood O2- carrying ability) due to • Decreased RBC count • Decreased amount of hemoglobin • Decreased availability of O2 2 Kidney (and liver to a smaller extent) releases erythropoietin. Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 2 Homeostasis: Normal blood oxygen levels 1 Stimulus: Hypoxia (low blood O2- carrying ability) due to • Decreased RBC count • Decreased amount of hemoglobin • Decreased availability of O2 2 Kidney (and liver to 3 Erythropoietin a smaller extent) releases erythropoietin. stimulates red bone marrow. Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 3 Homeostasis: Normal blood oxygen levels 1 Stimulus: Hypoxia (low blood O2- carrying ability) due to • Decreased RBC count • Decreased amount of hemoglobin • Decreased availability of O2 4 Enhanced erythropoiesis increases RBC count. 2 Kidney (and liver to 3 Erythropoietin a smaller extent) releases erythropoietin. stimulates red bone marrow. Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 4 Homeostasis: Normal blood oxygen levels 1 Stimulus: Hypoxia (low blood O2- carrying ability) due to • Decreased RBC count • Decreased amount of hemoglobin • Decreased availability of O2 5 O2- carrying ability of blood increases. 4 Enhanced erythropoiesis increases RBC count. 2 Kidney (and liver to 3 Erythropoietin a smaller extent) releases erythropoietin. stimulates red bone marrow. Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 5 Analyzing • How might your hematocrit change if you move from a town at sea level to a high mountain village? Copyright © 2010 Pearson Education, Inc. Destruction of Erythrocytes • Red blood cells have a useful life span of 100 to 120 days, after which they become trapped and fragment in smaller circulatory channels, particularly in those of the spleen. • In the red pulp of the spleen, RBC rupture when they try to squeeze through because of their fragile old membrane. • For this reason, the spleen is sometimes called the “red blood cell graveyard Copyright © 2010 Pearson Education, Inc. Anemia • Any decrease in blood’s oxygen-carrying capacity is known as anemia. • Causes: • Insufficient number of RBC • Low hemoglobin content • Abnormal hemoglobin • One of the major effects of anemia is the greatly increased work load on the heart. Copyright © 2010 Pearson Education, Inc. Human Blood Groups • RBC’s have antigens (identifiers) on them. • The presence or absence of these antigens tell us what blood type we have. Copyright © 2010 Pearson Education, Inc. Markers on RBC • If there are no blood type antigens, you have type O blood. • If you have B type antigens, you have type B blood. • If you have A type antigens, you have A type blood. • What about people with type AB blood? Copyright © 2010 Pearson Education, Inc. People that carry the “D” antigen are Rh +. If they do not have the antigen, they are Rh- ABO Markers Copyright © 2010 Pearson Education, Inc. Rh Factor • There are 45 different types of Rh agglutinogens. • Three of which (C, D, and E) are common • About 85% of Americans are Rh positive, which means they carry the D antigen. • Presence of the Rh agglutinogens on RBCs is indicated as Rh+ • As a rule, a person’s ABO and Rh blood groups are reported together, for example, O+, A-, and so on. Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Rh Factor and Pregnancy • Rho GAM • Injection of anti-Rh antibodies given soon after every delivery, miscarriage, abortion-binds • Inactivates fetal Rh antigens so mother’s immune system doesn’t respond Copyright © 2010 Pearson Education, Inc. Checking Your Understanding • What is the main function of RBC? • What organ is the red blood cell graveyard? • Mrs. D has type A blood and is Rh+. So, she has A+ blood. What antigens (ID markers) are carried on her blood? • Mrs. D’s husband has type A- blood. What does this mean? Copyright © 2010 Pearson Education, Inc.