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1
The Blood System
Arteries
Veins
Nathan Kikku Mubiru
Medical Laboratory
Scientist(MLSO)
2
Objectives
By the end,, you will be able to
•Name the parts of the blood system and discuss
the function of each part
•Define combining forms used in building words
that relate to the blood system
•Identify the meaning of related abbreviations
•Name the common diagnoses, clinical
procedures, and laboratory tests used in treating
the blood system
3
Objectives Part 2
•List and define the major pathological conditions
of the blood system
•Explain the meaning of surgical terms related to
the blood system
•Recognize common pharmacological agents used
in treating the blood system
4
Structure and Function
Blood
•complex mixture of cells,
water, proteins and sugars
•transports nutrients,
oxygen, and hormones to
all parts of the body
•helps regulate body
temperature
•helps maintain
stability of the
body’s fluid volume
•transports waste
products away from
body cells
5
Blood Composition
Without blood,
human life is
impossible
Blood Composition
Fluid Portion
-Plasma consisting of:
•water
•proteins
•salts
•nutrients
•vitamins
•hormones
Cellular Portion
-Blood cells consisting
of:
•red blood cells
•white blood cells
•platelets
NOTE: If some proteins and blood
cells were removed from plasma the
remaining fluid would be called
serum.
6
Plasma Proteins
Plasma
Clear liquid made up of 92% water and 8%
organic and inorganic biochemicals.
Plasma Proteins
albumin
fibrinogen
globulin
prothrombin
7
Red Blood Cells
Red Blood Cells
•Also known as erythrocytes
•Produced in the bone marrow in
response to erythropoietin
•Mature red blood cells have no nucleus
and appear biconcave
•Hemoglobin is a protein in red blood
cells that is essential to the transport of
oxygen
•Red blood cells live about 120 days
8
Red Blood Cells Part 2
Hemoglobin
heme globin
Red Blood Cell Count
Male = 4.6 to 6.4
Female = 4.2 to 5.4
Average red blood cells in a cubic
millimeter of blood
Red Blood Cell
9
Leukocytes
Leukocytes
•Also known as white blood cells
•Function to destroy foreign
substances
•Two main groups are
granulocytes and agranulocytes
Granulocytes Agranulocytes
Neutrophils
Eosinophils
Basophils
Monocytes
Lymphocytes
10
Platelets
Platelets
•Also known as
thrombocytes.
•Live for about
10 days
•Assist in blood
clotting
Red blood cells Platelets
Damaged
Platelets begin to
adhere to tissue edges
and to each other as
blood escapes.
They form a soft
platelet plug.
Other clotting factors
make this a stable
plug or clot.
Tissue mends and anti-
thrombin, and other
agents break down the
clot.
11
Blood Types
Blood Types
•Four human blood types or
groups exist
•Individuals needing a
blood transfusion must be
karyotyped.
•Blood typing is based on
the presence of antigens
and antibodies.
Blood Types
A, B, AB, O
People with type O blood can donate to all other
types and are called universal donors. Individuals
with type AB are called universal recipients.
12
Rh Factor
Individuals receiving incompatible blood during a
transfusion will have agglutination or clumping
of the blood which can be fatal.
Rh Factor
In addition to the blood type, there is a positive or
negative element found in the blood.
•Rh positive blood contains an antigen first
identified in the rhesus monkeys.
•Rh negative blood does not contain the antigen.
The Rh factor is very important during pregnancy
because a mother that is Rh negative carrying a
Rh positive fetus will develop antibodies to fight
Rh positive blood cells with future pregnancies.
13
Rh Antibodies
Rh negative
mom with Rh
positive fetus
First Pregnancy
Antibodies develop
Second Pregnancy
Another Rh
positive fetus
If this mother did not
receive Rhogam after
her first delivery, this
baby’s blood cells will
be attacked
(erythroblastosis
fetalis) which could be
fatal for the baby.
14
Combining Forms (agglutin)
Combining Form Meaning
agglutin (o)
eosino
erythr (o)
hemat (o)
leuk (o)
phag (o)
thromb (o)
agglutinin
eosinophil
red
blood
white
eating, devouring
blood clot
15
Combining Forms (APTT)
Abbreviation Meaning
APTT
baso
BCP
BMT
CBC
diff
eos
activated partial thromboplastin time
basophil
biochemistry panel
bone marrow transplant
complete blood count
differential blood count
eosinophils
16
Combining Forms (ESR)
Abbreviation Meaning
ESR
G-CSF
GM-CSF
HCT
HGB
MCH
erythrocyte sedimentation rate
granulocyte colony-stimulating
factor
granulocyte macrophage colony-
stimulating factor
hematocrit
hemoglobin
mean corpuscular hemoglobin
17
Combining Forms (MCV)
Abbreviation Meaning
MCV
mono
PCV
PLT
PMN
PT
PTT
mean corpuscular volume
monocyte
packed cell volume
platelet count
polymorphonuclear neutrophil
prothrombin time
partial thromboplastin time
18
Combining Forms (RBC)
Abbreviation Meaning
RBC
SR
seg
WBC
red blood cell count
sedimentation rate
segmented mature white blood cells
white blood cell count
19
Diagnostic, Procedural &
Laboratory Terms
The withdrawal of blood
for examination, known
as venipuncture or
phlebotomy, is used very
frequently as a
diagnostic tool.
20
Common Blood Analyses
Common Blood Analyses
•complete blood count
-common screen for
basic medical
checkup
•blood indices
-measures size,
volume and
content of red
blood cells
•erythrocyte
sedimentation rate
-measures rate at
which red blood
cells fall through
plasma
•hematocrit
-measures packed
red blood cells in a
sample
•Coomb’s
test
-tests for
antibodies on
red blood cells
21
Common Blood Analyses Part 2
Common Blood Analyses
•blood chemistry
-tests plasma for
various
substances such
as glucose and
electrolytes
•blood culture
-tests a blood
specimen in a
culture to identify
the presence of
microorganisms
•hemoglobin
-measures level of
hemoglobin in the
blood
•white blood cell
differential
-tests number
and types of
leukocytes •prothrombin time
-tests for
coagulation defects
22
Anemia
Dyscrasia is a general term for any disease of the
blood with abnormal material present.
•Anemia
•General term for a
condition in which
red blood cells do not
transport enough
oxygen to the tissues
•Causes may be
related to a low
number of cells or
due to a low amount
of hemoglobin
Common Types of Anemia
•iron-deficiency anemia
•aplastic anemia
•pernicious anemia
•sickle cell anemia
•hemolytic anemia
•posthemorrhagic anemia
23
Hemophilia
Disorders Related to Excessive Bleeding
Hemophilia
•Hereditary
disorder in which
there is a lack of
the clotting factor
VIII
•Treated with
medications and
blood transfusions
Thrombocytopenia
•Bleeding disorder with
a lack of platelets
•Occurs in the condition
called purpura which is
the presence of multiple
tiny hemorrhages under
the skin
24
Common Disorders
Disorders Related to Substances in the Blood
Common
Disorders
pancytopenia
•Low number
of all blood
cells
hemochromatosis
•Hereditary disorder
that causes
excessive iron to
build up in the blood
erythropenia
•Low number
of red blood
cells
poikilocytosis
•Irregularly
shaped red
blood cells
reticulocytosis
•Abnormal
number of
immature red
blood cells
25
Common Disorders Part 2
hemolysis
•Breakdown in
red blood cell
membrane
polycythemia
•Abnormal increase
in red blood cells
and hemoglobin
aniosocytosis
•Red blood cells
vary in size and
shape
macrocytosis
•Abnormally
large red blood
cells
microcytosis
•Abnormally small
red blood cells
Common
Disorders
cont’d
26
White Blood Cell Disorders
White Blood Cell Disorders
Leukemia
•Neoplastic
disorder in which
there is an
excessive
increase in white
blood cells
Granulocytosis
•Abnormal increase of
granulocytes in the
bloodstream.
Commonly seen
during times of
infection
Multiple Myeloma
•Malignant tumor of the bone marrow
27
Surgical Terms
Common Procedures
Bone Marrow Biopsy
•Needle is inserted
into the bone
marrow cavity and
bone marrow is
removed for analysis
Bone Marrow Transplant
•Performed for serious
conditions such as
leukemia
•Donor bone marrow is
inserted into the
patient’s bone marrow
28
Anticoagulants
Anticoagulants
Prevents blood from clotting
Common Anticoagulants
Generic Name Trade Name
•warfarin
•heparin
•aspirin
Coumadin®
Calciparine®
Bayer®
29
Coagulants
Coagulants
Aid in the clotting of blood
Common Coagulants
Generic Name Trade Name
•phytonadione
•vitamin K
Mephyton®
Konakion®
30
Hemostatics
Hemostatics
Stops blood flow within the vessels
Common Hemostatics
Generic Name Trade Name
•desmopressin
•aminocaproic acid
Concentraid®
Amicar®
31
Thrombolytics
Thrombolytics
Dissolves blood clots
Common Thrombolytics
Generic Name Trade Name
•alteplase
•anistreplase
•streptokinase
•urokinase
Activase®
Eminase®
Streptase®
Abbokinase
32
Apply Your Knowledge
Jamie is in an auto accident. His medic alert
bracelet reads “hemophiliac”. Which of the
following conditions would be most serious for
Jamie?
A. Infection
B. Bleeding
C. Fracture
Answer: B. Bleeding
33
Apply Your Knowledge Part 2
Sara is in desperate need of a blood transfusion.
After type and cross match of the following
individuals, which would most likely be the best
donor for Sarah, whose blood type is A+?
A. John, type B-
B. Carol, type AB+
C. Steve, Type O+
Answer: C. Steve, type O+
34
Apply Your Knowledge Part 3
Mr. Harrell has had a heart attack and his
physician instructs him to take an over-the-
counter medication that will keep his blood “thin”.
Which of the following medications would be
appropriate?
A. Mylanta
B. Bayer
C. Doan’s Pills
Answer: B. Bayer

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Blood

  • 1. 1 The Blood System Arteries Veins Nathan Kikku Mubiru Medical Laboratory Scientist(MLSO)
  • 2. 2 Objectives By the end,, you will be able to •Name the parts of the blood system and discuss the function of each part •Define combining forms used in building words that relate to the blood system •Identify the meaning of related abbreviations •Name the common diagnoses, clinical procedures, and laboratory tests used in treating the blood system
  • 3. 3 Objectives Part 2 •List and define the major pathological conditions of the blood system •Explain the meaning of surgical terms related to the blood system •Recognize common pharmacological agents used in treating the blood system
  • 4. 4 Structure and Function Blood •complex mixture of cells, water, proteins and sugars •transports nutrients, oxygen, and hormones to all parts of the body •helps regulate body temperature •helps maintain stability of the body’s fluid volume •transports waste products away from body cells
  • 5. 5 Blood Composition Without blood, human life is impossible Blood Composition Fluid Portion -Plasma consisting of: •water •proteins •salts •nutrients •vitamins •hormones Cellular Portion -Blood cells consisting of: •red blood cells •white blood cells •platelets NOTE: If some proteins and blood cells were removed from plasma the remaining fluid would be called serum.
  • 6. 6 Plasma Proteins Plasma Clear liquid made up of 92% water and 8% organic and inorganic biochemicals. Plasma Proteins albumin fibrinogen globulin prothrombin
  • 7. 7 Red Blood Cells Red Blood Cells •Also known as erythrocytes •Produced in the bone marrow in response to erythropoietin •Mature red blood cells have no nucleus and appear biconcave •Hemoglobin is a protein in red blood cells that is essential to the transport of oxygen •Red blood cells live about 120 days
  • 8. 8 Red Blood Cells Part 2 Hemoglobin heme globin Red Blood Cell Count Male = 4.6 to 6.4 Female = 4.2 to 5.4 Average red blood cells in a cubic millimeter of blood Red Blood Cell
  • 9. 9 Leukocytes Leukocytes •Also known as white blood cells •Function to destroy foreign substances •Two main groups are granulocytes and agranulocytes Granulocytes Agranulocytes Neutrophils Eosinophils Basophils Monocytes Lymphocytes
  • 10. 10 Platelets Platelets •Also known as thrombocytes. •Live for about 10 days •Assist in blood clotting Red blood cells Platelets Damaged Platelets begin to adhere to tissue edges and to each other as blood escapes. They form a soft platelet plug. Other clotting factors make this a stable plug or clot. Tissue mends and anti- thrombin, and other agents break down the clot.
  • 11. 11 Blood Types Blood Types •Four human blood types or groups exist •Individuals needing a blood transfusion must be karyotyped. •Blood typing is based on the presence of antigens and antibodies. Blood Types A, B, AB, O People with type O blood can donate to all other types and are called universal donors. Individuals with type AB are called universal recipients.
  • 12. 12 Rh Factor Individuals receiving incompatible blood during a transfusion will have agglutination or clumping of the blood which can be fatal. Rh Factor In addition to the blood type, there is a positive or negative element found in the blood. •Rh positive blood contains an antigen first identified in the rhesus monkeys. •Rh negative blood does not contain the antigen. The Rh factor is very important during pregnancy because a mother that is Rh negative carrying a Rh positive fetus will develop antibodies to fight Rh positive blood cells with future pregnancies.
  • 13. 13 Rh Antibodies Rh negative mom with Rh positive fetus First Pregnancy Antibodies develop Second Pregnancy Another Rh positive fetus If this mother did not receive Rhogam after her first delivery, this baby’s blood cells will be attacked (erythroblastosis fetalis) which could be fatal for the baby.
  • 14. 14 Combining Forms (agglutin) Combining Form Meaning agglutin (o) eosino erythr (o) hemat (o) leuk (o) phag (o) thromb (o) agglutinin eosinophil red blood white eating, devouring blood clot
  • 15. 15 Combining Forms (APTT) Abbreviation Meaning APTT baso BCP BMT CBC diff eos activated partial thromboplastin time basophil biochemistry panel bone marrow transplant complete blood count differential blood count eosinophils
  • 16. 16 Combining Forms (ESR) Abbreviation Meaning ESR G-CSF GM-CSF HCT HGB MCH erythrocyte sedimentation rate granulocyte colony-stimulating factor granulocyte macrophage colony- stimulating factor hematocrit hemoglobin mean corpuscular hemoglobin
  • 17. 17 Combining Forms (MCV) Abbreviation Meaning MCV mono PCV PLT PMN PT PTT mean corpuscular volume monocyte packed cell volume platelet count polymorphonuclear neutrophil prothrombin time partial thromboplastin time
  • 18. 18 Combining Forms (RBC) Abbreviation Meaning RBC SR seg WBC red blood cell count sedimentation rate segmented mature white blood cells white blood cell count
  • 19. 19 Diagnostic, Procedural & Laboratory Terms The withdrawal of blood for examination, known as venipuncture or phlebotomy, is used very frequently as a diagnostic tool.
  • 20. 20 Common Blood Analyses Common Blood Analyses •complete blood count -common screen for basic medical checkup •blood indices -measures size, volume and content of red blood cells •erythrocyte sedimentation rate -measures rate at which red blood cells fall through plasma •hematocrit -measures packed red blood cells in a sample •Coomb’s test -tests for antibodies on red blood cells
  • 21. 21 Common Blood Analyses Part 2 Common Blood Analyses •blood chemistry -tests plasma for various substances such as glucose and electrolytes •blood culture -tests a blood specimen in a culture to identify the presence of microorganisms •hemoglobin -measures level of hemoglobin in the blood •white blood cell differential -tests number and types of leukocytes •prothrombin time -tests for coagulation defects
  • 22. 22 Anemia Dyscrasia is a general term for any disease of the blood with abnormal material present. •Anemia •General term for a condition in which red blood cells do not transport enough oxygen to the tissues •Causes may be related to a low number of cells or due to a low amount of hemoglobin Common Types of Anemia •iron-deficiency anemia •aplastic anemia •pernicious anemia •sickle cell anemia •hemolytic anemia •posthemorrhagic anemia
  • 23. 23 Hemophilia Disorders Related to Excessive Bleeding Hemophilia •Hereditary disorder in which there is a lack of the clotting factor VIII •Treated with medications and blood transfusions Thrombocytopenia •Bleeding disorder with a lack of platelets •Occurs in the condition called purpura which is the presence of multiple tiny hemorrhages under the skin
  • 24. 24 Common Disorders Disorders Related to Substances in the Blood Common Disorders pancytopenia •Low number of all blood cells hemochromatosis •Hereditary disorder that causes excessive iron to build up in the blood erythropenia •Low number of red blood cells poikilocytosis •Irregularly shaped red blood cells reticulocytosis •Abnormal number of immature red blood cells
  • 25. 25 Common Disorders Part 2 hemolysis •Breakdown in red blood cell membrane polycythemia •Abnormal increase in red blood cells and hemoglobin aniosocytosis •Red blood cells vary in size and shape macrocytosis •Abnormally large red blood cells microcytosis •Abnormally small red blood cells Common Disorders cont’d
  • 26. 26 White Blood Cell Disorders White Blood Cell Disorders Leukemia •Neoplastic disorder in which there is an excessive increase in white blood cells Granulocytosis •Abnormal increase of granulocytes in the bloodstream. Commonly seen during times of infection Multiple Myeloma •Malignant tumor of the bone marrow
  • 27. 27 Surgical Terms Common Procedures Bone Marrow Biopsy •Needle is inserted into the bone marrow cavity and bone marrow is removed for analysis Bone Marrow Transplant •Performed for serious conditions such as leukemia •Donor bone marrow is inserted into the patient’s bone marrow
  • 28. 28 Anticoagulants Anticoagulants Prevents blood from clotting Common Anticoagulants Generic Name Trade Name •warfarin •heparin •aspirin Coumadin® Calciparine® Bayer®
  • 29. 29 Coagulants Coagulants Aid in the clotting of blood Common Coagulants Generic Name Trade Name •phytonadione •vitamin K Mephyton® Konakion®
  • 30. 30 Hemostatics Hemostatics Stops blood flow within the vessels Common Hemostatics Generic Name Trade Name •desmopressin •aminocaproic acid Concentraid® Amicar®
  • 31. 31 Thrombolytics Thrombolytics Dissolves blood clots Common Thrombolytics Generic Name Trade Name •alteplase •anistreplase •streptokinase •urokinase Activase® Eminase® Streptase® Abbokinase
  • 32. 32 Apply Your Knowledge Jamie is in an auto accident. His medic alert bracelet reads “hemophiliac”. Which of the following conditions would be most serious for Jamie? A. Infection B. Bleeding C. Fracture Answer: B. Bleeding
  • 33. 33 Apply Your Knowledge Part 2 Sara is in desperate need of a blood transfusion. After type and cross match of the following individuals, which would most likely be the best donor for Sarah, whose blood type is A+? A. John, type B- B. Carol, type AB+ C. Steve, Type O+ Answer: C. Steve, type O+
  • 34. 34 Apply Your Knowledge Part 3 Mr. Harrell has had a heart attack and his physician instructs him to take an over-the- counter medication that will keep his blood “thin”. Which of the following medications would be appropriate? A. Mylanta B. Bayer C. Doan’s Pills Answer: B. Bayer