Blood

GOALS:1. Describe a blood sample (with percentages)

2. Describe the shape of a blood cell.

3. List and describe types of white blood cells (both common and medical names)

4. What are platelets?

5. Describe the events in blood clot formation.

6. List the 4 blood types and their associated genotypes.

7. Describe how antibodies and antigens work (related to blood transfusions)

8. What is plasma and what is it composed of?

9. What is sickle cell anemia? How is it inherited (genetics)?

10. What is hemophilia? How is it inherited (genetics)?

11. What is the Rh factor? How can it affect a pregnancy?

12. What is leukemia?

13. What is anemia (general)?

14. What is septicemia?

15. What causes coagulation? What chemical prevents it?

16. What organ removes damaged or old blood cells?

17. List the plasma proteins.

18. What are blood-borne pathogens?

19. Be able to do a variety of genetic crosses (punnett squares) to show what blood types are possible. Ex. AB x O

20. Describe the events of hemostasis.

Introduction

Blood transports substances and maintains homeostasis in the body

Hematophobia = fear of blood

Blood and Blood Cells

What's in Blood? - blood is a type of connective tissue, composed of scattered cells within a noncellular matrix (fluid). Composed of 2 basic components

1. Cells (rbc, wbc, platelets) - 45%

2. Plasma (water, amino acids, proteins, carbohydrates, lipids, vitamins, hormones, electrolytes, cellular waste) - 55%

Blood cells are formed in the bone marrow = Hematopoeisis.

Types of Blood Cells

red blood cells (erythrocytes)

white blood cells (leukocytes)

platelets (thrombocytes)

RED BLOOD CELLS (erythrocytes)

- Shape is biconcave discs

- 5 million per cubic millimter (RBCC = red blood cell count, amount of blood cells in a cubic millimeter)

- lacking nuclei, they will not divide.

- RED blood cells live for about 120 days, then are phagocytosed by macrophages in the liver and spleen

Hematocrit - volume of RED BLOOD CELLS in a sample, should be 45%. The remaining fluid is platelets white blood cells and plasma (55%). To determine the percentages, blood is placed in a centrifuge

Main Functions

- transports O2 throughout body, and picks up CO2

- Hemoglobin = molecule which combines with O2 to transport it

Oxyhemoglobin - plenty of oxygen, bright red

Deoxyhemoglobin - not carrying much O2, "bluish red"

Iron is a critical element needed to synthesize hemoglobin and normal RBC. Anemia = too few RBC

A hormone secreted by the kidneys called Erythropoietin stimulates the formation of RBC. Process requires Vitamin B12 and Folic Acid

WHITE BLOOD CELLS (Leukocytes)

General function - defend the body against disease-causing agents (microorganisms)

Granulocytes (granular cytoplasm)

1. Neutrophils

very active in phagocytosing bacteria and are present in large amount in the pus of wounds, most common, 60% of WBCs

2. Eosinophils

attack parasites, control allergic reaction; 2% of WBCs

these are the cells largely responsible for allergies, because they have nothing to do in our parasite free world

3. Basophils

produces Heparin (prevents blood clots) and Histamines (causes inflammatory reaction); less then 1% of WBCs

Inflammatory Reaction = blood vessels dilate, fluid accumulation and swelling,

attraction of WBCs. At the site of an infection, dead and damage leukocytes, bacteria and body cells accumulate = pus

Agranulocytes (lacking granular cytoplasm)

4. Monocytes

precursors of macrophages, phagocytes; 6% of WBCs

macrophages phagocytose the bad guys like little amoebae

5. Lymphocytes

main constituents of the immune system which is a defense against the attack of pathogenic micro-organisms such as viruses, bacteria, fungi and protista. These are the adaptive immune response. 30% of WBCs

Lymphocytes come in three types

1. B-cells- yield antibodies and arrange them on their membrane. activated B-cells secrete antibodies.

2. T-cells- Produce a receptor and arrange them on their membrane, and help other lymphocytes do their job.

3. NK-cells- natural killer cells.

PLATELETS (thrombocytes)

- help initiate formation of blood clots, close breaks in damaged blood vessels

Blood Plasma

- the liquid portion of the blood, 92% water

- transport nutrients, gases, vitamins, maintain fluid and electrolyte balance, and pH

Plasma Proteins

1. Albumins - made in liver, maintain osmotic pressure and blood volume (blood pressure)

2. Globulins - 3 groups: alpha, beta, gamma

a. alpha & beta globulins - from liver, transport lippids and fat-soluble vitamins

b. gamma globulins - from lymphatic tussies, antibodies for immunity

3. Fibrinogen - from liver, largest molecules of plasma proteins - important for blood clotting. Major event in blood clotting is the changie of fibrogen into fibrin

Hemostasis

- the process of stopping bleeding. 3 Key Events

- Coagulation causes the formation of a blood clot.

1. Blood vessel spasm - damaged or broken vessels stimule muscle tissue in the walls of the blood vessels to contract. This slows or stops blood flow, lasts for several minutes. Also, platelets release serotonin, a vasoconstrictor which maintains the muscle spasm even longer.

2. Platelet plug formation - platelets stick to surfaces of damaged blood vessels and to each other to form a "plug"

3. Blood coagulation - most effective, forms a blood clot (hematoma). Injury causes an increase in the release of coagulants. Main event - conversion of fibrinogen into long protein threads called fibrin.

Tissue damage = prodction of prothrombin activator (calcium ions must be present)

Prothrombin - converted to thrombin

Thrombin acts as a enzyme to cause change of fibrinogen to fibrin, which trap platelets and blood cells to form a hematoma

Thrombus = a blood clot abnormally forming in a vessel

Embolus = when the clot moves and becomes lodged in another place

Name:____________________________________

Blood Concept Map

A&P Blood Cells

WORD BANK

red blood cells | homeostasis | albumins |biconcave disc | bone marrow | transport nutrients | hemoglobin | monocytes | defend against diseases | plasma | leukocytes | spleen | phagocytes | inflammatory reaction | water | platelets | hematopoeisis | eosinophils | oxygen | nucleus | hemostasis | globulins | antibodies

BLOOD DISORDERS

A&P Blood Disorders

ANEMIAo Iron-Deficiency Anemia (most common)o Aplastic Anemia - bone marrow does not produce enough RBCo Hemorrhagic anemia - due to extreme blood losso Pernicious anemia - B12 deficiencyo Sickle Cell Anemia (genetic)LEUKEMIAo Type of cancero Overproduction of immature white blood cellso They take the place of RBCso Treatable with bone marrow transplants, chemothemotherapy, radiationINFECTIOUS MONONUCLEOSISSometimes called "mono" or "the kissing disease," is an infection usually caused by the Epstein-Barr virus (EBV). EBV is very common, and many people have been exposed to the virus at some time in childhood.BLOOD POISONING - SEPTICEMIAo An infection enters the blood stream, can be deadlyo Treated with antibioticsTHROMBOCYTOPENIA

o Low production of Platelets, Caus

ing bleeding or bruising

The Genetics of Sickle Cell AnemiaGenetic Disorder, Abnormally shaped blood cells

Parents can be carriers (asymptomatic)

Sickle Cell Anemia is actually codominant

AA = normal

Aa = sickle cell trait (few symptoms)

aa = sickle cell anemia

Symptoms and Complications of Sickle Cell Anemia: pain, lethargy, anemia, organ failure, stroke

The Genetics of Hemophilia

Hemophilia is sex-linked, meaning it is carried on the X chromosome. Females can be normal, carriers, or have the disease

Males can be normal or have the disease, but they cannot be carriers because they only have a single X chromosome. (Males are XY, females are XX)

When a female with hemophilia has children, she will pass the gene to each of her sons.

This shows a cross between a female who is a carrier and a normal male.

BLOOD TYPING

1901 - Austrian Karl Landsteiner discovered human blood groups

Blood Type is Controlled by 3 Alleles

Alleles: A, B, O

A & B are codominant

O is recessive

Blood Transfusions

Blood that has antibodies on it that is not recognized by the body will be attacked by your immune system

O is the Universal Donor because a person with this type of blood does not have antigens on the surface of the blood cells - hence will not cause an immune reaction in the patient.

AB is the universal Acceptor because this person will not have an immune reaction to A, B, AB, or O

*Just remember, the antigens on the surface of your cells (or donated cells) will cause a reaction if your immune system does not recognize them as being part of you. Hence, if you are Type A, and transfused with Type B, your body will mobilize a massive immune response against the "invading" blood. This will cause coagulation of blood and death.

----- AGGLUTINATION (the clumping of red blood cells following a transfusion reaction; likely fatal

Rh Factor (Rh = rhesus monkey)

A person can have surface Rh antigens (and be Rh +) or no antigens (and be Rh - )

Rh factor is caused by a dominant allele and is inherited like any other trait.

Problem: When a fetus is Rh+ and the mother is Rh-, this can cause the mother's immune system to attack the fetus. There are drugs that will suppress this reaction.

*This condition is called Erythroblastosis fetalis . Doctors can prevent this reaction by giving the woman an injection that will suppress her immune reaction.

Blood Safety

Blood can carry diseases and health care professionals must be careful when working with blood. A bloodborne pathogen is any disease causing agent that is present in the blood and can be transferred from one person to another.

HEPATITIS B (HBV)

HEPATITIS C (HCV)

HUMAN IMMUNODEFICIENCY VIRUS (HIV)

MALARIATesting Your Blood

A test kit can be used to test your blood type. It involves pricking your finger and placing a drop of blood on a card that will react to a serum on the card that contains antibodies. You will be given the opportunity to test your blood type using this technique.