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BLOODBLOODProvides a mechanism for rapid transport of
nutrients, waste products, respiratory gases and
cells
Powered by the pumping action of the heart
Functions Of BloodFunctions Of BloodTransportation - the blood transports dissolved
gases, nutrients, hormones and metabolic wastes.
Protection - the blood restricts fluid losses
through damaged vessels. Platelets in the blood
and clotting proteins minimize blood loss when a
blood vessel is damaged.
Regulation
◦ Blood regulates the pH and electrolyte
composition of the interstitial fluids.
◦ Blood regulates body temperature.
Composition Of BloodComposition Of Blood
Contains cellular and liquid components
A specialized connective tissue
◦ Blood cells – formed elements
◦ Plasma – fluid portion and fibrinogen
Blood volume
◦ Males: 5 – 6 liters
◦ Females: 4 – 5 liters
The pH of blood is about 7.35-7.45
Figure 19.1b
Composition of Whole BloodComposition of Whole Blood
Formed ElementsFormed Elements
Blood cells
◦ Erythrocytes, leukocytes, and platelets
Staining of blood cells
◦ Acidic dye – eosin – stains pink
◦ Basic dye – methylene blue – stains blue and
purple
Blood PlasmaBlood Plasma
 Straw-colored, sticky fluid portion of blood
 Approximately 90% water
 Contains:
◦ Ions – Na+ and Cl-
◦ Nutrients – sugars, amino acids, lipids, cholesterol,
vitamins and trace elements
◦ Three main proteins - Albumin (60%), globulin (35%),
fibrinogen (4%)
◦ Dissolved Gasses – including O2 and CO2
◦ Waste Products – other protein wastes such as urea and
bilirubin
Overview: Composition of BloodOverview: Composition of Blood
Hematocrit – measure of % RBC
◦ Males: 47% ± 5%
◦ Females: 42% ± 5%
Figure 17.1
Wright’s StainWright’s Stain
Figure 17.2b
Erythrocytes – Red Blood CellsErythrocytes – Red Blood Cells
(RBCs)(RBCs)
Oxygen-transporting cells
◦ 7.5 µm in diameter (diameter of capillary 8 –
10µm)
Most numerous of the formed elements
◦ Females: 4.3 – 5.2 million cells/cubic millimeter
◦ Males: 5.2 – 5.8 million cells/cubic millimeter
Made in the red bone marrow in long bones,
cranial bones, ribs, sternum, and vertebrae
Average lifespan 100 – 120 days
RBC Structure And FunctionRBC Structure And FunctionHave no organelles or nuclei
Hemoglobin – oxygen carrying
protein
◦ Each RBC has about 280
million hemoglobin molecules
Biconcave shape – 30% more
surface area
11
Red Blood Cell Production and Its Control
1. In the embryo and fetus, red blood cell
production occurs in the yolk sac, liver,
and spleen; after birth, it occurs in the
red bone marrow.
2. The average life span of a red blood cell
is 120 days.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
12
13
Destruction of Red Blood Cells
1. With age, red blood cells become
increasingly fragile and are damaged by
passing through narrow capillaries.
2. Macrophages in the liver and spleen
phagocytize damaged red blood cells.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
14
15
3. Hemoglobin from the decomposed red
blood cells is converted into heme and
globin.
4. Heme is decomposed into iron which is
stored or recycled and biliverdin and
bilirubin which are excreted in bile.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
16
The total number of red blood cells
remains relatively constant due to a
negative feedback mechanism utilizing
the hormone erythropoietin, which is
released from the kidneys and liver in
response to the detection of low oxygen
levels.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Leukocytes – White Blood CellsLeukocytes – White Blood Cells
(WBCs)(WBCs)
Protect the body from infectious
microorganisms
4,800 – 11,000/cubic millimeter
Function outside the bloodstream in loose
connective tissue
Diapedesis – circulating leukocytes leave the
capillaries
WBCs have a nucleus and are larger than RBCs
Most produced in bone marrow
Lifespan of 12 hours to several years
18
White Blood Cell Counts
1. Normally a cubic milliliter of blood
contains 5,000 to 10,000 white blood
cells.
2. Leukocytosis occurs after an infection
when excess numbers of leukocytes are
present; leukopenia occurs from a
variety of conditions, including AIDS.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
White Blood CellsWhite Blood Cells
Type Of White Blood
Cells
% By Volume Of WBC Description Function
Neutrophils 60 – 70 % Nucleus has many
interconnected lobes; blue
granules
Phagocytize and destory
bacteria; most numerous
WBC
Eosinophils 2 – 4 % Nucleus has bilobed nuclei;
red or yellow granules
containing digestive
enzymes
Play a role in ending allergic
reactions
Basophils < 1 % Bilobed nuclei hidden by
large purple granules full of
chemical mediators of
inflammation
Function in inflammation
medication; similar in
function to mast cells
Lymphocytes (B Cells
and T Cells)
20 – 25 % Dense, purple staining,
round nucleus; little
cytoplasm
the most important cells of
the immune system;
effective in fighting infectious
organisms; act against a
specific foreign molecule
(antigen)
Monocytes 4 – 8 % Largest leukocyte; kidney
shaped nucleus
Transform into
macrophages; phagocytic
cells
Leukocytes – White Blood Cells (WBCs)Leukocytes – White Blood Cells (WBCs)
Two types of leukocytes
◦ Granulocytes
◦ Agranulocytes
Differential WBC Count
◦ Never
◦ Let
◦ Monkeys
◦ Eat
◦ Bananas
Figure 17.5
21
Functions of White Blood Cells
1. Leukocytes can squeeze between cells
lining walls of blood vessels by
diapedesis and attack bacteria and
debris.
a. Neutrophils and monocytes are
phagocytic, with monocytes
engulfing the larger particles.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
22
23
b. Eosinophils moderate allergic
reactions as well as defend
against parasitic infections.
c. Basophils migrate to damaged
tissues and release histamine to
promote inflammation and
heparin to inhibit blood clotting.
d. Lymphocytes are the major
players in specific immune
reactions and some produce
antibodies.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
24
3. A differential white blood cell count can
help pinpoint the nature of an illness,
indicating whether it is caused by
bacteria or viruses.
a. A differential white blood cell
count lists the percentages of the
types of leukocytes in a blood
sample.
GranulocytesGranulocytes
Neutrophils – most numerous WBC
◦ Phagocytize and destroy bacteria
◦ Nucleus – has two to six lobes
◦ Granules pick up acidic and basic stains
Figure 17.4a
Eosinophils – compose 1 – 4% of all
WBCs
◦ Play roles in ending allergic reactions, parasitic
infections
Figure 17.4b
Granulocytes
GranulocytesGranulocytes
Basophils – about 0.5% of all leukocytes
◦ Nucleus – usually two lobes
◦ Granules secrete histamines
◦ Function in inflammation mediation, similar in
function to mast cells
AgranulocytesAgranulocytes
 Lymphocytes – compose 20 – 45% of WBCs
◦ The most important cells of the immune system
◦ Nucleus – stains dark purple
◦ Effective in fighting infectious organisms
◦ Act against a specific foreign molecule (antigen)
 Two main classes of lymphocyte
◦ T cells – attack foreign cells directly
◦ B cells – multiply to become plasma cells that secrete
antibodies
Figure 17.4d
AgranulocytesAgranulocytes
Monocytes – compose 4–8% of WBCs
◦ The largest leukocytes
◦ Nucleus – kidney shaped
◦ Transform into macrophages
 Phagocytic cells
Figure 17.4e
Summary of Formed ElementsSummary of Formed Elements
Table 17.1
PlateletsPlatelets
 Structure
◦ Small cellular fragments; originate in bone
marrow from giant cell megakaryocyte
◦ Contain several clotting factors – calcium ions,
ADP, serotonin
Function
◦ Involved in stopping bleeding when a blood vessel
is damaged; Process is called hemostasis
32
I. Blood Platelets
1. Blood platelets are fragments of
megakaryocytes.
2. Platelets help repair damaged blood
vessels by adhering to their broken
edges.
3. Normal counts vary from 130,000 to
360,000 platelets per mm3
.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
33
34
Blood Coagulation
1. Blood coagulation is the most effective
means of hemostasis.
2. Blood coagulation is very complex and
uses clotting factors.
3. Damaged tissues release a chemical
called tissue thromboplastin, which
activates the first in a series of factors
leading to the production of
prothrombin activator.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
35
4. Prothrombin activator converts prothrombin
in the plasma into thrombin. This in turn,
catalyzes a reaction that converts fibrinogen
into fibrin.
5. The major event in blood clot formation
is the conversion of soluble fibrinogen
into net like insoluble fibrin causing the
blood cells to catch.
6. The amount of prothrombin activator
formed is proportional to the amount of
tissue damage.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
36
7. Once a blood clot forms, it promotes
still more clotting through a positive
feedback system.
8. After a clot forms, fibroblasts invade
the area and produce fibers throughout
the clots.
9. A clot that forms abnormally in a vessel
is a thrombus; if it dislodges, it is an
embolus.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
37
38
 Blood Groups and Transfusions
A. After mixed success with transfusions,
scientists determined that blood was of
different types and only certain combinations
were compatible.
B. Antigens and Antibodies
1. Clumping of red blood cells following
transfusion is called agglutination.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
39
2. Agglutination is due to the interaction
of proteins on the surfaces of red
blood cells (antigens) with certain
antibodies carried in the plasma.
3. Only a few of the antigens on red blood
cells produce transfusion reactions.
a. These include the ABO group
and Rh group.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
40
C. ABO Blood Group
1. Type A blood has A antigens on red
blood cells and anti-B antibodies in the
plasma.
2. Type B blood has B antigens on red
blood cells and anti-A antibodies in the
plasma.
3. Type AB blood has both A and B
antigens, but no antibodies in the
plasma.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
41
4. Type O blood has neither antigen, but
both types of antibodies in the plasma.
5. Adverse transfusion reactions are
avoided by preventing the mixing of
blood that contains matching antigens
and antibodies.
a. Adverse reactions are due to the
agglutination of red blood cells.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
42
43
D. Rh Blood Group
1. The Rh factor was named after the
rhesus monkey.
2. If the Rh factor surface protein is
present on red blood cells, the blood is
Rh positive; otherwise it is Rh negative.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
44
3. There are no corresponding antibodies
in the plasma unless a person with Rh-
negative blood is transfused with Rh-
positive blood; the person will then
develop antibodies for the Rh factor.
4. Erythroblastosis fetalis develops in Rh-
positive fetuses of Rh-negative mothers
but can now be prevented.
Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
45
Blood Cell FormationBlood Cell Formation
 Hematopoiesis – process by which blood cells are formed
 100 billion new blood cells formed each day
 Takes place in the red bone marrow of the humerus, femur, sternum, ribs,
vertebra and pelvis
◦ Red marrow – actively generates new blood cells
 Contains immature erythrocytes
 Remains in epiphyses, girdles, and axial skeleton
◦ Yellow marrow – dormant
 Contains many fat cells
 Located in the long bones of adults
◦ Tissue framework for red marrow
 Reticular connective tissue
Cell Lines in Blood Cell FormationCell Lines in Blood Cell Formation
All blood cells originate in bone marrow
All originate from one cell type
◦ Blood stem cell (pluripotential hematopoeitic
stem cell)
 Lymphoid stem cells - give rise to lymphocytes
 Myeloid stem cells - give rise to all other blood
cells
Cell Lines in Blood Cell FormationCell Lines in Blood Cell Formation Genesis of erythrocytes
◦ Committed cells are
proerythroblasts
◦ Remain in the reticulocyte
stage for 1–2 days in
circulation
◦ Make up about 1–2% of all
erythrocytes
 Formation of leukocytes
◦ Granulocytes form from
myeloblasts
◦ Monoblasts enlarge and
form monocytes
 Platelet-forming cells from
megakaryoblasts, break apart
into platelets
The Blood Throughout LifeThe Blood Throughout Life
First blood cells develop with the earliest
blood vessels
Mesenchyme cells cluster into blood
islands
Late in the second month the liver and
spleen take over blood formation
Bone marrow becomes major
hematopoietic organ at month 7
RBC life span and circulationRBC life span and circulation
Replaced at a rate of approximately 3 million new
blood cells entering the circulation per second
Damaged or dead RBCs are recycled by
phagocytes
Components of hemoglobin individually recycled
◦ Heme stripped of iron and converted to biliverdin,
then bilirubin
Iron is recycled by being stored in phagocytes, or
transported throughout the blood stream bound
to transferrin
Figure 19.5
Red Blood CellTurnoverRed Blood CellTurnover

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blood

  • 1. BLOODBLOODProvides a mechanism for rapid transport of nutrients, waste products, respiratory gases and cells Powered by the pumping action of the heart
  • 2. Functions Of BloodFunctions Of BloodTransportation - the blood transports dissolved gases, nutrients, hormones and metabolic wastes. Protection - the blood restricts fluid losses through damaged vessels. Platelets in the blood and clotting proteins minimize blood loss when a blood vessel is damaged. Regulation ◦ Blood regulates the pH and electrolyte composition of the interstitial fluids. ◦ Blood regulates body temperature.
  • 3. Composition Of BloodComposition Of Blood Contains cellular and liquid components A specialized connective tissue ◦ Blood cells – formed elements ◦ Plasma – fluid portion and fibrinogen Blood volume ◦ Males: 5 – 6 liters ◦ Females: 4 – 5 liters The pH of blood is about 7.35-7.45
  • 4. Figure 19.1b Composition of Whole BloodComposition of Whole Blood
  • 5. Formed ElementsFormed Elements Blood cells ◦ Erythrocytes, leukocytes, and platelets Staining of blood cells ◦ Acidic dye – eosin – stains pink ◦ Basic dye – methylene blue – stains blue and purple
  • 6. Blood PlasmaBlood Plasma  Straw-colored, sticky fluid portion of blood  Approximately 90% water  Contains: ◦ Ions – Na+ and Cl- ◦ Nutrients – sugars, amino acids, lipids, cholesterol, vitamins and trace elements ◦ Three main proteins - Albumin (60%), globulin (35%), fibrinogen (4%) ◦ Dissolved Gasses – including O2 and CO2 ◦ Waste Products – other protein wastes such as urea and bilirubin
  • 7. Overview: Composition of BloodOverview: Composition of Blood Hematocrit – measure of % RBC ◦ Males: 47% ± 5% ◦ Females: 42% ± 5% Figure 17.1
  • 9. Erythrocytes – Red Blood CellsErythrocytes – Red Blood Cells (RBCs)(RBCs) Oxygen-transporting cells ◦ 7.5 µm in diameter (diameter of capillary 8 – 10µm) Most numerous of the formed elements ◦ Females: 4.3 – 5.2 million cells/cubic millimeter ◦ Males: 5.2 – 5.8 million cells/cubic millimeter Made in the red bone marrow in long bones, cranial bones, ribs, sternum, and vertebrae Average lifespan 100 – 120 days
  • 10. RBC Structure And FunctionRBC Structure And FunctionHave no organelles or nuclei Hemoglobin – oxygen carrying protein ◦ Each RBC has about 280 million hemoglobin molecules Biconcave shape – 30% more surface area
  • 11. 11 Red Blood Cell Production and Its Control 1. In the embryo and fetus, red blood cell production occurs in the yolk sac, liver, and spleen; after birth, it occurs in the red bone marrow. 2. The average life span of a red blood cell is 120 days. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 12. 12
  • 13. 13 Destruction of Red Blood Cells 1. With age, red blood cells become increasingly fragile and are damaged by passing through narrow capillaries. 2. Macrophages in the liver and spleen phagocytize damaged red blood cells. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 14. 14
  • 15. 15 3. Hemoglobin from the decomposed red blood cells is converted into heme and globin. 4. Heme is decomposed into iron which is stored or recycled and biliverdin and bilirubin which are excreted in bile. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 16. 16 The total number of red blood cells remains relatively constant due to a negative feedback mechanism utilizing the hormone erythropoietin, which is released from the kidneys and liver in response to the detection of low oxygen levels. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 17. Leukocytes – White Blood CellsLeukocytes – White Blood Cells (WBCs)(WBCs) Protect the body from infectious microorganisms 4,800 – 11,000/cubic millimeter Function outside the bloodstream in loose connective tissue Diapedesis – circulating leukocytes leave the capillaries WBCs have a nucleus and are larger than RBCs Most produced in bone marrow Lifespan of 12 hours to several years
  • 18. 18 White Blood Cell Counts 1. Normally a cubic milliliter of blood contains 5,000 to 10,000 white blood cells. 2. Leukocytosis occurs after an infection when excess numbers of leukocytes are present; leukopenia occurs from a variety of conditions, including AIDS. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 19. White Blood CellsWhite Blood Cells Type Of White Blood Cells % By Volume Of WBC Description Function Neutrophils 60 – 70 % Nucleus has many interconnected lobes; blue granules Phagocytize and destory bacteria; most numerous WBC Eosinophils 2 – 4 % Nucleus has bilobed nuclei; red or yellow granules containing digestive enzymes Play a role in ending allergic reactions Basophils < 1 % Bilobed nuclei hidden by large purple granules full of chemical mediators of inflammation Function in inflammation medication; similar in function to mast cells Lymphocytes (B Cells and T Cells) 20 – 25 % Dense, purple staining, round nucleus; little cytoplasm the most important cells of the immune system; effective in fighting infectious organisms; act against a specific foreign molecule (antigen) Monocytes 4 – 8 % Largest leukocyte; kidney shaped nucleus Transform into macrophages; phagocytic cells
  • 20. Leukocytes – White Blood Cells (WBCs)Leukocytes – White Blood Cells (WBCs) Two types of leukocytes ◦ Granulocytes ◦ Agranulocytes Differential WBC Count ◦ Never ◦ Let ◦ Monkeys ◦ Eat ◦ Bananas Figure 17.5
  • 21. 21 Functions of White Blood Cells 1. Leukocytes can squeeze between cells lining walls of blood vessels by diapedesis and attack bacteria and debris. a. Neutrophils and monocytes are phagocytic, with monocytes engulfing the larger particles. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 22. 22
  • 23. 23 b. Eosinophils moderate allergic reactions as well as defend against parasitic infections. c. Basophils migrate to damaged tissues and release histamine to promote inflammation and heparin to inhibit blood clotting. d. Lymphocytes are the major players in specific immune reactions and some produce antibodies. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 24. 24 3. A differential white blood cell count can help pinpoint the nature of an illness, indicating whether it is caused by bacteria or viruses. a. A differential white blood cell count lists the percentages of the types of leukocytes in a blood sample.
  • 25. GranulocytesGranulocytes Neutrophils – most numerous WBC ◦ Phagocytize and destroy bacteria ◦ Nucleus – has two to six lobes ◦ Granules pick up acidic and basic stains Figure 17.4a
  • 26. Eosinophils – compose 1 – 4% of all WBCs ◦ Play roles in ending allergic reactions, parasitic infections Figure 17.4b Granulocytes
  • 27. GranulocytesGranulocytes Basophils – about 0.5% of all leukocytes ◦ Nucleus – usually two lobes ◦ Granules secrete histamines ◦ Function in inflammation mediation, similar in function to mast cells
  • 28. AgranulocytesAgranulocytes  Lymphocytes – compose 20 – 45% of WBCs ◦ The most important cells of the immune system ◦ Nucleus – stains dark purple ◦ Effective in fighting infectious organisms ◦ Act against a specific foreign molecule (antigen)  Two main classes of lymphocyte ◦ T cells – attack foreign cells directly ◦ B cells – multiply to become plasma cells that secrete antibodies Figure 17.4d
  • 29. AgranulocytesAgranulocytes Monocytes – compose 4–8% of WBCs ◦ The largest leukocytes ◦ Nucleus – kidney shaped ◦ Transform into macrophages  Phagocytic cells Figure 17.4e
  • 30. Summary of Formed ElementsSummary of Formed Elements Table 17.1
  • 31. PlateletsPlatelets  Structure ◦ Small cellular fragments; originate in bone marrow from giant cell megakaryocyte ◦ Contain several clotting factors – calcium ions, ADP, serotonin Function ◦ Involved in stopping bleeding when a blood vessel is damaged; Process is called hemostasis
  • 32. 32 I. Blood Platelets 1. Blood platelets are fragments of megakaryocytes. 2. Platelets help repair damaged blood vessels by adhering to their broken edges. 3. Normal counts vary from 130,000 to 360,000 platelets per mm3 . Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 33. 33
  • 34. 34 Blood Coagulation 1. Blood coagulation is the most effective means of hemostasis. 2. Blood coagulation is very complex and uses clotting factors. 3. Damaged tissues release a chemical called tissue thromboplastin, which activates the first in a series of factors leading to the production of prothrombin activator. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 35. 35 4. Prothrombin activator converts prothrombin in the plasma into thrombin. This in turn, catalyzes a reaction that converts fibrinogen into fibrin. 5. The major event in blood clot formation is the conversion of soluble fibrinogen into net like insoluble fibrin causing the blood cells to catch. 6. The amount of prothrombin activator formed is proportional to the amount of tissue damage. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 36. 36 7. Once a blood clot forms, it promotes still more clotting through a positive feedback system. 8. After a clot forms, fibroblasts invade the area and produce fibers throughout the clots. 9. A clot that forms abnormally in a vessel is a thrombus; if it dislodges, it is an embolus. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 37. 37
  • 38. 38  Blood Groups and Transfusions A. After mixed success with transfusions, scientists determined that blood was of different types and only certain combinations were compatible. B. Antigens and Antibodies 1. Clumping of red blood cells following transfusion is called agglutination. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 39. 39 2. Agglutination is due to the interaction of proteins on the surfaces of red blood cells (antigens) with certain antibodies carried in the plasma. 3. Only a few of the antigens on red blood cells produce transfusion reactions. a. These include the ABO group and Rh group. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 40. 40 C. ABO Blood Group 1. Type A blood has A antigens on red blood cells and anti-B antibodies in the plasma. 2. Type B blood has B antigens on red blood cells and anti-A antibodies in the plasma. 3. Type AB blood has both A and B antigens, but no antibodies in the plasma. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 41. 41 4. Type O blood has neither antigen, but both types of antibodies in the plasma. 5. Adverse transfusion reactions are avoided by preventing the mixing of blood that contains matching antigens and antibodies. a. Adverse reactions are due to the agglutination of red blood cells. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 42. 42
  • 43. 43 D. Rh Blood Group 1. The Rh factor was named after the rhesus monkey. 2. If the Rh factor surface protein is present on red blood cells, the blood is Rh positive; otherwise it is Rh negative. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 44. 44 3. There are no corresponding antibodies in the plasma unless a person with Rh- negative blood is transfused with Rh- positive blood; the person will then develop antibodies for the Rh factor. 4. Erythroblastosis fetalis develops in Rh- positive fetuses of Rh-negative mothers but can now be prevented. Copyright©The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
  • 45. 45
  • 46. Blood Cell FormationBlood Cell Formation  Hematopoiesis – process by which blood cells are formed  100 billion new blood cells formed each day  Takes place in the red bone marrow of the humerus, femur, sternum, ribs, vertebra and pelvis ◦ Red marrow – actively generates new blood cells  Contains immature erythrocytes  Remains in epiphyses, girdles, and axial skeleton ◦ Yellow marrow – dormant  Contains many fat cells  Located in the long bones of adults ◦ Tissue framework for red marrow  Reticular connective tissue
  • 47. Cell Lines in Blood Cell FormationCell Lines in Blood Cell Formation All blood cells originate in bone marrow All originate from one cell type ◦ Blood stem cell (pluripotential hematopoeitic stem cell)  Lymphoid stem cells - give rise to lymphocytes  Myeloid stem cells - give rise to all other blood cells
  • 48. Cell Lines in Blood Cell FormationCell Lines in Blood Cell Formation Genesis of erythrocytes ◦ Committed cells are proerythroblasts ◦ Remain in the reticulocyte stage for 1–2 days in circulation ◦ Make up about 1–2% of all erythrocytes  Formation of leukocytes ◦ Granulocytes form from myeloblasts ◦ Monoblasts enlarge and form monocytes  Platelet-forming cells from megakaryoblasts, break apart into platelets
  • 49. The Blood Throughout LifeThe Blood Throughout Life First blood cells develop with the earliest blood vessels Mesenchyme cells cluster into blood islands Late in the second month the liver and spleen take over blood formation Bone marrow becomes major hematopoietic organ at month 7
  • 50. RBC life span and circulationRBC life span and circulation Replaced at a rate of approximately 3 million new blood cells entering the circulation per second Damaged or dead RBCs are recycled by phagocytes Components of hemoglobin individually recycled ◦ Heme stripped of iron and converted to biliverdin, then bilirubin Iron is recycled by being stored in phagocytes, or transported throughout the blood stream bound to transferrin
  • 51. Figure 19.5 Red Blood CellTurnoverRed Blood CellTurnover