Human Anatomy & Physiology II
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Transcript Human Anatomy & Physiology II
THE CARDIOVASCULAR
SYSTEM: BLOOD
FUNCTION
Transportation-hormones, gasses, nutrients, ions,
heat
Regulation- pH, temperature, water balance in
cells
Protection- clotting, white cells interferons,
complement
COMPOSITION
Connective tissue-Two parts
Plasma = soluble materials (~55%)
Remove the clotting proteins in plasma= serum
Formed Elements = cells (~45%)
Percent occupied by red blood cells (RBC) =
hematocrit (Hct)
White blood cells (WBC) ~1%
FIGURE 14.1A
FIGURE 14.1B
PLASMA
~91% water, 7% proteins, 1.5 % other solutes
Proteins: Albumin (54%)- osmosis and carriers;
Globulins (38%)- antibodies
Fibrinogen (7%)- clotting
Other: Electrolytes , nutrients, gases, hormones,
vitamins & waste products
FORMED ELEMENTS
I. Red Blood Cells
II. White blood cells
A. Granular Leukocytes
1.
2.
3.
Neutrophils
Eosinophils
Basophils
B. Agranular leukocytes
1.
2.
T & B lymphocytes & natural Killer cells
monocytes
III Platelets- thrombocytes
FORMATION OF BLOOD CELLS
Called hemopoiesis
Just before birth and throughout life occurs in
red bone marrow
Contains pluripotent stem cells
In response to specific hormones these develop
through a series of changes to form all of the
blood cells
FIGURE 14.2A
FIGURE 14.2B
ERYTHROCYTES (RBCS)
Hemoglobin- carries oxygen
Also carries some CO2
Male has ~ 5.4 million cells/µl; Female has ~4.8
million
membrane, no nucleus, flexible structure
use glucose for ATP production to maintain ionic
composition
No mitochondria
Wear out fast- live ~120 days
RBC CYCLING
Cleared by macrophages (liver & spleen)
Fe- recycled in bone marrow
Carried in blood on transferrin
Heme bilirubin and excreted (bile)
Globin A.A. recycled.
FIGURE 14.3
RBC SYNTHESIS
Called erythropoiesis
From stem cells: hemocytoblasts
Released as reticulocytes
Mature to erythrocytes in 1-2 days
Production & destruction is balanced
Low O2 delivery (hypoxia)
erythropoietin release (EPO) from kidney
Stimulates erythropoiesis
FIGURE 14.4
LEUKOCYTES (WBC)
Defenses: phagocytes, antibody production and
antibacterial action
Phagocytes:
Neutrophil- first responders
Monocytes macrophages (big eaters)
Eosinophil- phagocitize antibody-antigen complexes Involved
in suppressing allergic responses
Immune response:
Lymphocytes
T-cells, B-cells& natural killer (NK) cells
*Basophil- intensify allergic reactions (not a phagocyte)
WBC LIFE SPAN
5000-10,00 WBC /µl blood
Limited number of bacteria can be eaten
Life span is a few days
During active infection may be hours
Leukocytosis= increased WBC numbers
response to stresses
Leukopenia = decreased WBC numbers
PLATELETS
Myeloid stem cells megakaryocytes 2000 3000 fragments = platelets
Plug damaged blood vessels
Promote blood clotting
Life span 5-9 days
HEMOSTASIS
Hemostasis = the stoppage of blood
1. Vascular reactions (spasm)
2. platelet plug formation
Become sticky when contact damaged vessel wall
3. blood clotting (coagulation)
Response to damage
Quick reduction of blood loss
Series of chemical reactions involving clotting factors
Clotting in unbroken vessel= thrombosis
COAGULATION
Extrinsic pathway common steps
tissue factor(TF) from damaged cells 1
Intrinsic Pathway common steps
Materials “intrinsic” to blood 1
1. prothrombinase which causes
2. prothrombin thrombin causes
3. fibrinogen fibrin clot
CLOT RETRACTION & VESSEL REPAIR
Clot plugs ruptured area
Gradually contracts (retraction)
Pulls sides of wound together
Fibroblasts replace connective tissue
epithelial cells repair lining
CONTROL MECHANISMS
Fibrinolysis: dissolving of clot by activated
plasmin enclosed in clot
Clots can be triggered by roughness on vessel
wall = thrombosis
Loose clot = embolus and can block a small
vessel = embolism
FIGURE 14.5
BLOOD TYPES
Surface antigens- react with antibodies
Divided into groups based on antigens
> 24 blood groups and > 100 different antigens
We will deal with ABO and Rh groups
ABO GROUP
Two antigens = A & B
Type A- if have only A
Type B- if have only B
Type AB- both antigens
Type O- if neither then
Blood usually has antibodies that can react with
antigens
e.g. anti-A antibody or anti-B antibody
You don’t react with your own antigens
Thus: type A has anti-B and vice versa
FIGURE 14.6
RH BLOOD GROUP
Antigen discovered in rhesus monkey
If have antigen- Rh+
Normally don’t have antibodies
antibodies develop after the first exposure from
transfusion
TRANSFUSIONS
If mismatched blood given antibodies bind to it
and hemolyze cells
Type AB has no AB antibodies so can receive any
ABO type blood called Universal recipients
Type O have neither antigen so can donate to any
other ABO type called Universal donors
Misleading because of many other blood
groups that must be matched