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Anatomy and Physiology. CARDIOVASCULAR SYSTEM. BLOOD HEART BLOOD VESSELS. Hematology - study of blood. BLOOD. Liquid connective tissue comprising 8% of body weight 4-5 times more viscous than water, salty Volume - 4-6 liters . FUNCTIONS.
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CARDIOVASCULAR SYSTEM BLOOD HEART BLOOD VESSELS
BLOOD • Liquid connective tissue comprising 8% of body weight • 4-5 times more viscous than water, salty • Volume - 4-6 liters
FUNCTIONS • Transportation - oxygen, CO2, nutrients, hormones and wastes • Protection - have cells that phagocytize bacteria and produce antibodies; clotting mechanisms that prevent blood loss • Regulation - pH, body temperature,water content
Components of Blood • PLASMA - is the liquid portion of the blood and consists primarily of water (92%) and plasma proteins (7%) • Proteins - albumin, globulins, and fibrinogen • FORMED ELEMENTS - solid component of the blood consisting of erythrocytes, leukocytes, and platelets • BLOOD - 55% plasma 45% formed elements
Types of Cells • Erythrocytes - Red Blood Cells • Leukocytes - White Blood Cells • Thrombocytes - Platelets
Erythrocytes • Very flexible, biconcave disk lacking a nucleus • Most numerous of cells; 5million/mm3 • Transport respiratory gases such as oxygen and carbon dioxide • Approximately 120 day life span • Hemoglobin - major constituent consisting of 4 polypeptide globin chains with a heme molecule in each one • Each hemoglobin molecule can carry four oxygen molecules • Sickle Cell Anemia
Types of Tests • Red blood cell count • Hemoglobin • Hematocrit • Reticulocyte
Leukocyte - WBC • Granulocytes - • Neutrophils - phagocytize bacteria (60-70%); polys/segs • Eosinophils - associated with allergic reactions and parasitic infections (2-4%) • Basophils - involved in the inflammatory response as well as allergic reactions; granules contain heparin and histamine (0.5-1%) • Agranulocytes - play a crucial role in immunity • Monocytes - phagocytic macrophages (3-8%) • Lymphocytes - involved in immunity; B cells and T cells (20-25%)
Thrombocyte - Platelet • Cytoplasmic fragments that are essential in blood clotting; help form a platelet plug • Platelets have a life span of only 5-9 days • Normal platelet count :250,000-400,00/mm3
HEMOSTASIS Blood clotting
Stages of blood clotting • Vascular spasms - blood vessel constriction • Formation of a platelet plug - platelets stick to each other and the collagen exposed in the damaged tissue to form a plug • Coagulation - formation of a clot
Coagulation • Involves two chemical, enzymatic pathways resulting in the conversion of soluble fibrinogen into insoluble fibrin • Extrinsic pathway - PT test • Intrinsic pathway - PTT test • Thirteen clotting factors involved; most are produced in the liver • Vitamin K dependent - II, VII, IX, X
Stages of blood clotting • Formation of prothrombinase (prothrombin activator) • Conversion of prothrombin to thrombin • Conversion of soluble fibrinogen into insoluble fibrin
Coagulation • Normal coagulation involves: • normal platelets • clotting factors • vitamin K • calcium • Clot Retraction • Fibrinolysis
Clotting Disorders • Thrombus • Embolus • Hemophilia • Thrombocytopenia • DIC
Blood Groups - Typing • Blood is typed into groups depending upon the type of agglutinogens(antigens) present on the red blood cell surface • The plasma may contain genitically determined agglutinins or antibodies against the blood group antigens that they DO NOT have • The ABO and Rh system are based upon antigen-antibody type responses
Blood Typing • ABO system - people who posses the A antigen on the RBC surface are type A; if you posses the B antigen you are blood type B; if both A and B are present you are type AB; if neither A or B antigens are present, your blood type is O • Type O - universal donor, can give blood to anyone • Type AB - universal recipient, can receive blood from any blood type • Rh system - individual whose red blood cells posses the D antigen are Rh+, either Rh+ or Rh- • Hemolytic Disease of the Newborn • RhoGam
Blood Disorders • Erythrocyte disorders • Anemia - due to decreased number of red blood cells or a deficiency of hemoglobin • aplastic anemia • pernicious anemia • iron deficiency • hemolytic anemia • Thalassemia • Polycythemia • White blood cell disorders • Leukopenia / leukocytosis • Infectious mononucleosis • Leukemia • predominate cell type • acute / chronic