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Essentials of Human Anatomy & Physiology
Seventh Edition
Elaine N. Marieb
Chapter 10
Blood
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slides 10.1 – 10.31
Blood
Lecture Slides in PowerPoint by Jerry L. Cook
Blood
Blood
 The only fluid tissue in the human body
 Classified as a connective tissue
Slide 10.2
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Classified as a connective tissue
Living cells = formed elements
Non-living matrix = plasma
Blood
Blood
Slide 10.3
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 10.1
Physical Characteristics of Blood
Physical Characteristics of Blood
 Color range
Oxygen-rich blood is scarlet red

Slide 10.4
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Oxygen-poor blood is dull red
 pH must remain between 7.35–7.45
 Blood temperature is slightly higher than
body temperature
Blood Plasma
Blood Plasma
 Composed of approximately 90 percent
water
 Includes many dissolved substances
Nutrients
Slide 10.5
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Salts (metal ions)
Respiratory gases
Hormones
Proteins
Waste products
Plasma Proteins
Plasma Proteins
 Albumin – regulates osmotic pressure
 Clotting proteins – help to stem blood
Slide 10.6
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Clotting proteins – help to stem blood
loss when a blood vessel is injured
 Antibodies – help protect the body from
antigens
Formed Elements
Formed Elements
 Erythrocytes = red blood cells
 Leukocytes = white blood cells
Slide 10.7
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Leukocytes = white blood cells
 Platelets = cell fragments
Slide 10.8
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Slide 10.9
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Erythrocytes (Red Blood Cells)
Erythrocytes (Red Blood Cells)
 The main function is to carry oxygen
 Anatomy of circulating erythrocytes
Biconcave disks
Slide 10.10
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Biconcave disks
Essentially bags of hemoglobin
Anucleate (no nucleus)
Contain very few organelles
 Outnumber white blood cells 1000:1
Hemoglobin
Hemoglobin
 Iron-containing protein
 Binds strongly, but reversibly, to oxygen
 Each hemoglobin molecule has four
Slide 10.11
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Each hemoglobin molecule has four
oxygen binding sites
 Each erythrocyte has 250 million
hemoglobin molecules
Leukocytes (White Blood Cells)
Leukocytes (White Blood Cells)
 Crucial in the body’s defense against
disease
 These are complete cells, with a
nucleus and organelles

Slide 10.12
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Able to move into and out of blood
vessels (diapedesis)
 Can move by ameboid motion
 Can respond to chemicals released by
damaged tissues
Leukocyte Levels in the Blood
Leukocyte Levels in the Blood
 Normal levels are between 4,000 and
11,000 cells per millimeter
 Abnormal leukocyte levels
Leukocytosis
Slide 10.13
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Above 11,000 leukocytes/ml
Generally indicates an infection
Leukopenia
Abnormally low leukocyte level
Commonly caused by certain drugs
Types of Leukocytes
Types of Leukocytes
 Granulocytes
Granules in their
cytoplasm can be
Slide 10.14
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
cytoplasm can be
stained
Include
neutrophils,
eosinophils, and
basophils
Figure 10.4
Types of Leukocytes
Types of Leukocytes
 Agranulocytes
Lack visible
cytoplasmic
Slide 10.15
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
cytoplasmic
granules
Include
lymphocytes and
monocytes
Figure 10.4
Granulocytes
Granulocytes
 Neutrophils
Multilobed nucleus with fine granules
Act as phagocytes at active sites of infection
Slide 10.16
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Act as phagocytes at active sites of infection
 Eosinophils
Large brick-red cytoplasmic granules
Found in repsonse to allergies and parasitic
worms
Granulocytes
Granulocytes
 Basophils
Have histamine-containing granules
Slide 10.17
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Have histamine-containing granules
Initiate inflammation
Agranulocytes
Agranulocytes
 Lymphocytes
Nucleus fills most of the cell
Play an important role in the immune
response
Slide 10.18
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
response
 Monocytes
Largest of the white blood cells
Function as macrophages
Important in fighting chronic infection
Platelets
Platelets
 Derived from ruptured multinucleate
cells (megakaryocytes)
Slide 10.19
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Needed for the clotting process
 Normal platelet count = 300,000/mm3
Hematopoiesis
Hematopoiesis
 Blood cell formation
 Occurs in red bone marrow
 All blood cells are derived from a
Slide 10.20
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 All blood cells are derived from a
common stem cell (hemocytoblast)
 Hemocytoblast differentiation
Lymphoid stem cell produces lymphocytes
Myeloid stem cell produces other formed
elements
Fate of Erythrocytes
Fate of Erythrocytes
 Unable to divide, grow, or synthesize
proteins
 Wear out in 100 to 120 days
Slide 10.21
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Wear out in 100 to 120 days
 When worn out, are eliminated by
phagocytes in the spleen or liver
 Lost cells are replaced by division of
hemocytoblasts
Control of Erythrocyte Production
Control of Erythrocyte Production
 Rate is controlled by a hormone
(erythropoietin)
 Kidneys produce most erythropoietin as
Slide 10.22
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Kidneys produce most erythropoietin as
a response to reduced oxygen levels in
the blood
 Homeostasis is maintained by negative
feedback from blood oxygen levels
Control of Erythrocyte Production
Control of Erythrocyte Production
Slide 10.23
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 10.5
Hemostasis
Hemostasis
 Stoppage of blood flow
 Result of a break in a blood vessel
 Hemostasis involves three phases
Slide 10.24
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Hemostasis involves three phases
Platelet plug formation
Vascular spasms
Coagulation
Platelet Plug Formation
Platelet Plug Formation
 Collagen fibers are exposed by a break
in a blood vessel
 Platelets become “sticky” and cling to
fibers
Slide 10.25
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
fibers
 Anchored platelets release chemicals to
attract more platelets
 Platelets pile up to form a platelet plug
Vascular Spasms
Vascular Spasms
 Anchored platelets release serotonin
 Serotonin causes blood vessel muscles
Slide 10.26
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Serotonin causes blood vessel muscles
to spasm
 Spasms narrow the blood vessel,
decreasing blood loss
Coagulation
Coagulation
 Injured tissues release thromboplastin
 PF3 (a phospholipid) interacts with
thromboplastin, blood protein clotting
Slide 10.27
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
thromboplastin, blood protein clotting
factors, and calcium ions to trigger a
clotting cascade
 Prothrombin activator converts
prothrombin to thrombin (an enzyme)
Coagulation
Coagulation
 Thrombin joins fibrinogen proteins into
hair-like fibrin
Slide 10.28
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
hair-like fibrin
 Fibrin forms a meshwork
(the basis for a clot)
Blood Clotting
Blood Clotting
 Blood usually clots within 3 to 6 minutes
 The clot remains as endothelium
Slide 10.29
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 The clot remains as endothelium
regenerates
 The clot is broken down after tissue
repair
Undesirable Clotting
Undesirable Clotting
 Thrombus
A clot in an unbroken blood vessel
Can be deadly in areas like the heart
Slide 10.30
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Embolus
A thrombus that breaks away and floats
freely in the bloodstream
Can later clog vessels in critical areas such
as the brain
Bleeding Disorders
Bleeding Disorders
 Thrombocytopenia
Platelet deficiency
Even normal movements can cause
bleeding from small blood vessels that
Slide 10.31
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
bleeding from small blood vessels that
require platelets for clotting
 Hemophilia
Hereditary bleeding disorder
Normal clotting factors are missing
Blood Groups and Transfusions
Blood Groups and Transfusions
 Large losses of blood have serious
consequences
Loss of 15 to 30 percent causes weakness
Loss of over 30 percent causes shock,
Slide 10.32
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Loss of over 30 percent causes shock,
which can be fatal
 Transfusions are the only way to
replace blood quickly
 Transfused blood must be of the same
blood group
Human Blood Groups
Human Blood Groups
 Blood contains genetically determined
proteins
 A foreign protein (antigen) may be
Slide 10.33
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 A foreign protein (antigen) may be
attacked by the immune system
 Blood is “typed” by using antibodies that
will cause blood with certain proteins to
clump (agglutination)
Human Blood Groups
Human Blood Groups
 There are over 30 common red blood
cell antigens
Slide 10.34
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 The most vigorous transfusion reactions
are caused by ABO and Rh blood group
antigens
ABO Blood Groups
ABO Blood Groups
 Based on the presence or absence of two
antigens
Type A
Slide 10.35
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Type A
Type B
 The lack of these antigens is called
type O
ABO Blood Groups
ABO Blood Groups
 The presence of both A and B is called
type AB
Slide 10.36
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
type AB
 The presence of either A or B is called
types A and B, respectively
Rh Blood Groups
Rh Blood Groups
 Named because of the presence or
absence of one of eight Rh antigens
(agglutinogen D)
Slide 10.37
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
(agglutinogen D)
 Most Americans are Rh+
 Problems can occur in mixing Rh+ blood
into a body with Rh– blood
Rh Dangers During Pregnancy
Rh Dangers During Pregnancy
 Danger is only when the mother is Rh–
Slide 10.38
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 Danger is only when the mother is Rh
and the father is Rh+, and the child
inherits the Rh+ factor
Rh Dangers During Pregnancy
Rh Dangers During Pregnancy
 The mismatch of an Rh– mother carrying
an Rh+ baby can cause problems for the
unborn child
 The first pregnancy usually proceeds without
Slide 10.39
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
 The first pregnancy usually proceeds without
problems
 The immune system is sensitized after the first
pregnancy
 In a second pregnancy, the mother’s immune
system produces antibodies to attack the Rh+
blood (hemolytic disease of the newborn)
Blood Typing
Blood Typing
 Blood samples are mixed with anti-A and
anti-B serum
 Coagulation or no coagulation leads to
determining blood type
Slide 10.40
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
determining blood type
 Typing for ABO and Rh factors is done in
the same manner
 Cross matching – testing for
agglutination of donor RBCs by the
recipient’s serum, and vice versa
Developmental Aspects of Blood
Developmental Aspects of Blood
 Sites of blood cell formation
The fetal liver and spleen are early sites of
blood cell formation
Slide 10.41
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
blood cell formation
Bone marrow takes over hematopoiesis by
the seventh month
 Fetal hemoglobin differs from
hemoglobin produced after birth

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Chapter 10 blood ppt.pdf

  • 1. Essentials of Human Anatomy & Physiology Seventh Edition Elaine N. Marieb Chapter 10 Blood Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slides 10.1 – 10.31 Blood Lecture Slides in PowerPoint by Jerry L. Cook
  • 2. Blood Blood  The only fluid tissue in the human body  Classified as a connective tissue Slide 10.2 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Classified as a connective tissue Living cells = formed elements Non-living matrix = plasma
  • 3. Blood Blood Slide 10.3 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 10.1
  • 4. Physical Characteristics of Blood Physical Characteristics of Blood  Color range Oxygen-rich blood is scarlet red  Slide 10.4 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Oxygen-poor blood is dull red  pH must remain between 7.35–7.45  Blood temperature is slightly higher than body temperature
  • 5. Blood Plasma Blood Plasma  Composed of approximately 90 percent water  Includes many dissolved substances Nutrients Slide 10.5 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Salts (metal ions) Respiratory gases Hormones Proteins Waste products
  • 6. Plasma Proteins Plasma Proteins  Albumin – regulates osmotic pressure  Clotting proteins – help to stem blood Slide 10.6 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Clotting proteins – help to stem blood loss when a blood vessel is injured  Antibodies – help protect the body from antigens
  • 7. Formed Elements Formed Elements  Erythrocytes = red blood cells  Leukocytes = white blood cells Slide 10.7 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Leukocytes = white blood cells  Platelets = cell fragments
  • 8. Slide 10.8 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 9. Slide 10.9 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
  • 10. Erythrocytes (Red Blood Cells) Erythrocytes (Red Blood Cells)  The main function is to carry oxygen  Anatomy of circulating erythrocytes Biconcave disks Slide 10.10 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Biconcave disks Essentially bags of hemoglobin Anucleate (no nucleus) Contain very few organelles  Outnumber white blood cells 1000:1
  • 11. Hemoglobin Hemoglobin  Iron-containing protein  Binds strongly, but reversibly, to oxygen  Each hemoglobin molecule has four Slide 10.11 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Each hemoglobin molecule has four oxygen binding sites  Each erythrocyte has 250 million hemoglobin molecules
  • 12. Leukocytes (White Blood Cells) Leukocytes (White Blood Cells)  Crucial in the body’s defense against disease  These are complete cells, with a nucleus and organelles  Slide 10.12 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Able to move into and out of blood vessels (diapedesis)  Can move by ameboid motion  Can respond to chemicals released by damaged tissues
  • 13. Leukocyte Levels in the Blood Leukocyte Levels in the Blood  Normal levels are between 4,000 and 11,000 cells per millimeter  Abnormal leukocyte levels Leukocytosis Slide 10.13 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Above 11,000 leukocytes/ml Generally indicates an infection Leukopenia Abnormally low leukocyte level Commonly caused by certain drugs
  • 14. Types of Leukocytes Types of Leukocytes  Granulocytes Granules in their cytoplasm can be Slide 10.14 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings cytoplasm can be stained Include neutrophils, eosinophils, and basophils Figure 10.4
  • 15. Types of Leukocytes Types of Leukocytes  Agranulocytes Lack visible cytoplasmic Slide 10.15 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings cytoplasmic granules Include lymphocytes and monocytes Figure 10.4
  • 16. Granulocytes Granulocytes  Neutrophils Multilobed nucleus with fine granules Act as phagocytes at active sites of infection Slide 10.16 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Act as phagocytes at active sites of infection  Eosinophils Large brick-red cytoplasmic granules Found in repsonse to allergies and parasitic worms
  • 17. Granulocytes Granulocytes  Basophils Have histamine-containing granules Slide 10.17 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Have histamine-containing granules Initiate inflammation
  • 18. Agranulocytes Agranulocytes  Lymphocytes Nucleus fills most of the cell Play an important role in the immune response Slide 10.18 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings response  Monocytes Largest of the white blood cells Function as macrophages Important in fighting chronic infection
  • 19. Platelets Platelets  Derived from ruptured multinucleate cells (megakaryocytes) Slide 10.19 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Needed for the clotting process  Normal platelet count = 300,000/mm3
  • 20. Hematopoiesis Hematopoiesis  Blood cell formation  Occurs in red bone marrow  All blood cells are derived from a Slide 10.20 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  All blood cells are derived from a common stem cell (hemocytoblast)  Hemocytoblast differentiation Lymphoid stem cell produces lymphocytes Myeloid stem cell produces other formed elements
  • 21. Fate of Erythrocytes Fate of Erythrocytes  Unable to divide, grow, or synthesize proteins  Wear out in 100 to 120 days Slide 10.21 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Wear out in 100 to 120 days  When worn out, are eliminated by phagocytes in the spleen or liver  Lost cells are replaced by division of hemocytoblasts
  • 22. Control of Erythrocyte Production Control of Erythrocyte Production  Rate is controlled by a hormone (erythropoietin)  Kidneys produce most erythropoietin as Slide 10.22 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Kidneys produce most erythropoietin as a response to reduced oxygen levels in the blood  Homeostasis is maintained by negative feedback from blood oxygen levels
  • 23. Control of Erythrocyte Production Control of Erythrocyte Production Slide 10.23 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 10.5
  • 24. Hemostasis Hemostasis  Stoppage of blood flow  Result of a break in a blood vessel  Hemostasis involves three phases Slide 10.24 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Hemostasis involves three phases Platelet plug formation Vascular spasms Coagulation
  • 25. Platelet Plug Formation Platelet Plug Formation  Collagen fibers are exposed by a break in a blood vessel  Platelets become “sticky” and cling to fibers Slide 10.25 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings fibers  Anchored platelets release chemicals to attract more platelets  Platelets pile up to form a platelet plug
  • 26. Vascular Spasms Vascular Spasms  Anchored platelets release serotonin  Serotonin causes blood vessel muscles Slide 10.26 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Serotonin causes blood vessel muscles to spasm  Spasms narrow the blood vessel, decreasing blood loss
  • 27. Coagulation Coagulation  Injured tissues release thromboplastin  PF3 (a phospholipid) interacts with thromboplastin, blood protein clotting Slide 10.27 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings thromboplastin, blood protein clotting factors, and calcium ions to trigger a clotting cascade  Prothrombin activator converts prothrombin to thrombin (an enzyme)
  • 28. Coagulation Coagulation  Thrombin joins fibrinogen proteins into hair-like fibrin Slide 10.28 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings hair-like fibrin  Fibrin forms a meshwork (the basis for a clot)
  • 29. Blood Clotting Blood Clotting  Blood usually clots within 3 to 6 minutes  The clot remains as endothelium Slide 10.29 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  The clot remains as endothelium regenerates  The clot is broken down after tissue repair
  • 30. Undesirable Clotting Undesirable Clotting  Thrombus A clot in an unbroken blood vessel Can be deadly in areas like the heart Slide 10.30 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Embolus A thrombus that breaks away and floats freely in the bloodstream Can later clog vessels in critical areas such as the brain
  • 31. Bleeding Disorders Bleeding Disorders  Thrombocytopenia Platelet deficiency Even normal movements can cause bleeding from small blood vessels that Slide 10.31 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings bleeding from small blood vessels that require platelets for clotting  Hemophilia Hereditary bleeding disorder Normal clotting factors are missing
  • 32. Blood Groups and Transfusions Blood Groups and Transfusions  Large losses of blood have serious consequences Loss of 15 to 30 percent causes weakness Loss of over 30 percent causes shock, Slide 10.32 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Loss of over 30 percent causes shock, which can be fatal  Transfusions are the only way to replace blood quickly  Transfused blood must be of the same blood group
  • 33. Human Blood Groups Human Blood Groups  Blood contains genetically determined proteins  A foreign protein (antigen) may be Slide 10.33 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  A foreign protein (antigen) may be attacked by the immune system  Blood is “typed” by using antibodies that will cause blood with certain proteins to clump (agglutination)
  • 34. Human Blood Groups Human Blood Groups  There are over 30 common red blood cell antigens Slide 10.34 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  The most vigorous transfusion reactions are caused by ABO and Rh blood group antigens
  • 35. ABO Blood Groups ABO Blood Groups  Based on the presence or absence of two antigens Type A Slide 10.35 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Type A Type B  The lack of these antigens is called type O
  • 36. ABO Blood Groups ABO Blood Groups  The presence of both A and B is called type AB Slide 10.36 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings type AB  The presence of either A or B is called types A and B, respectively
  • 37. Rh Blood Groups Rh Blood Groups  Named because of the presence or absence of one of eight Rh antigens (agglutinogen D) Slide 10.37 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings (agglutinogen D)  Most Americans are Rh+  Problems can occur in mixing Rh+ blood into a body with Rh– blood
  • 38. Rh Dangers During Pregnancy Rh Dangers During Pregnancy  Danger is only when the mother is Rh– Slide 10.38 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Danger is only when the mother is Rh and the father is Rh+, and the child inherits the Rh+ factor
  • 39. Rh Dangers During Pregnancy Rh Dangers During Pregnancy  The mismatch of an Rh– mother carrying an Rh+ baby can cause problems for the unborn child  The first pregnancy usually proceeds without Slide 10.39 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  The first pregnancy usually proceeds without problems  The immune system is sensitized after the first pregnancy  In a second pregnancy, the mother’s immune system produces antibodies to attack the Rh+ blood (hemolytic disease of the newborn)
  • 40. Blood Typing Blood Typing  Blood samples are mixed with anti-A and anti-B serum  Coagulation or no coagulation leads to determining blood type Slide 10.40 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings determining blood type  Typing for ABO and Rh factors is done in the same manner  Cross matching – testing for agglutination of donor RBCs by the recipient’s serum, and vice versa
  • 41. Developmental Aspects of Blood Developmental Aspects of Blood  Sites of blood cell formation The fetal liver and spleen are early sites of blood cell formation Slide 10.41 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings blood cell formation Bone marrow takes over hematopoiesis by the seventh month  Fetal hemoglobin differs from hemoglobin produced after birth