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Hematology
study of blood
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Functions of blood
Regulation-body temp, H2O balance, pH balance
Distribution-transports O2 and Co2, all hormones, glucose, and other chemicals
Protection-WBC fighting invaders. Hemostasis=blood clotting (protects you from losing all that blood)
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Characteristics of blood
- Volume=6 liters
- red
- salty-due to Na and other electrolytes
- sticky-protein in blood
- heavier than H2O
- hypertonic to the tissue
- Ph 7.35-7.45
- specific gravity
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Hematocrit
Percentage of RBC in total volume of blood.
about 45% in males (higher than females)
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"formed elements" of the blood
cells (red and white) and platelets
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Plasma of blood
liquid portion of the blood
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hematopoiesis
formation of blood cells
in adults, stem cells are in flat bones
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Blood composition
- 45% red blood cells
- 1% white blood cells and platelets
- 55% plasma
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Plasma composition
- Proteins (7%)
- 60% Albumin
- 36% Globulins-gamma immuno antibodies-made by WBC for defense
- 4% Fibrinogen-blood clotting
- Gases (<1%)
- 1% N2, O2, CO2
* proteins made by liver
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Plasma
is a complex mixture of water, amino acids, proteins, carbohydrates, lipids, vitamins, hormones, electrolytes, and cellular wastes.
- 92% water
- 7% proteins
- 1% electrolytes, wastes, gases, and nutrients, vitamins, and hormones.
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myeloid s cells
develops all cells except the lymphocyte. Lymphocyte comes from Lymphoid.
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Erythrocyte function
- transport oxygen
- transport CO2
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Erythrocyte structure
- -biconcave disc
- -anucleate (no nucleus)
- -Hemoglobin (hem, globins, HbA vs HbF)
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Hemoglobin structure
- -2 chains=146 a.a./2 chains=141 a.a
- -574 amino acids in hemoglobin
- -heme-located in the center. it's what attracts O2
- -One mol. of hemoglobin can transport 4O2.
- -4Fe=sat. oxy.
- -250 millions of hemoglobin in a red blood cell
- -one red blood cell can carry 1 billion mol of O2
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Erythropoiesis
formation of erythrosite
- 3 phases
- phase 1-Ribosome synthesis
- phase 2-Hemoglobin accumulation
- phase 3-Ejection of nucleus
it takes 4 days to produce RBC from red bone marrow.
5-6 million/ml=red blood cell count
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Formation of RBC
- negative feedback
- Hormone Erythropoietin made by kidneys
- When O2 is down, EPO targets red bone marrow to increase # of RBC, so O2 goes up
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RBC life span
120 days
Then, they will be broken down by WBC in liver (Macrophages)
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bilirubin
- leaves the body in the feces.
- -gives color to stool.
- -If bilirubin doesn't leave can cause Jaundice
- -bilirubin buildup in tissues causes yellowing of the skin.
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HbA vs HbF Physiologic Jaundice
- HbF-fetal hemoglobin.
- -Stronger affinity for O2.
- -Important in fetus-blood is oxygen poor
- HbA- adult hemoglobin
- -HbF broken down and new cells with HbA
- -RBC destruction produces excess bilirubin into bile
- -Yellowing of skin and eyes
- -"bili lights"
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Leukopoiesis
formation of leukocytes
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Basophil
- -least abundant-less than 1%
- -make heparin-anticocigulant
- -releases histamines-allergic reaction, inflammation
- -Granulocyte
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Eosinophil
- -1-3%
- -parasites
- -typically live about 12 hours
- -Granulocyte
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Neutrophil
- -the most abundant 54-62%
- -function-bacteria slayers
- -Granulocytes
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Granulocytes
- Neutrophil
- Basophil
- Eosinophil
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Monocyte
- -3-9%
- -Lifespan is months
- -fight viruses
- -monocyte indicates viral infection. Heart shaped nucleus.
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Lymphocyte
- -33%
- -Second most abundant of leukocytes
- -T cells-made in thymus gland under Thymosin effect
- -B cells
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DIFFerential
- -blood test
- -count each type of leukocyte
- -use to detect problem
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Leukemia
cells divide and don't do anything
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Platelets or thrombocytes
- -fragmented pieces of cells; not true cells
- -involved in blood clotting
- -clot=thrombus
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thrombopoiesis
don't know where it's made. Involved in blood clotting.
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Platelet function
- -secrete serotonin
- -platelet plug
- -secretes procoagulant
- -initiates fibrinolysis-fall off
- -secretes chemicals to attract Neu. (bac) and Mono (virus)
- -Internalized and destroy bacteria
- -Secretes growth factors-maintain and repair blood vessels
- Platelets tend to stick together
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Hemostasis
- The stoppage of blood flow
- 3 steps
- 1) Blodd vessel spasm. Vascular spasm serotonin (platelets muscle contract) vasoconstriction
- 2) Platelet plug-sticky-rough surface
- 3) Coagulation-clot
We have to have 13 clotting factors. Ca, Fibrinogen
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Pro-coagulant agents-enhance
- -clotting factors
- -severe burns
- -accumulation fat
- -blood pooling-need to move
- -physical blows
- -vaso constriction-squeezing b.v. increases blood clotting
- -cancer
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Anti-coagulant agents
- -Aspirin
- -heparin
- -smooth vessel walls
- -movement of blood
- -vasodilation
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Human blood groups
- -Over 30 different blood groups
- -ABO/Rh most common
- -Blood type determine by presence or absence of antigen (A or B proteins) on surface of RBC membrane
- -Genetically determined-can never be changed
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Type A blood
A antigen on surface of RBC membrane
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Type B blood
B antigen on surface of RBC membrane
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Type AB blood
A and B antigen on surface of RBC membrane
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Type O blood
No A nor B antigen on surface of RBC membrane
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Antibodies
- -Found in plasma
- -A and B antibodies are pre-formed during prenatal development.
- -Make opposite antibody to antigen on RBC membrane
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Type A blood antibodies
have antibodies B in plasma
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Type B blood antibodies
have antibodies A in plasma
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Type AB blood antibodies
have no antibodies in plasma
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Type O blood antibodies
have both antibodies A and B in plasma
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agglutination
interaction between antigen and antibodies when given wrong blood type.
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Anemia
A deficiency of red blood cells, or a reduction in the amount of hemoglobin they contain
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Five types of WBC
- -Neutrophils
- -Eosinophils
- -Basophils
- -Monocytes
- -Lymphocytes
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