Presentation on theme: "The Circulatory System - Blood"— Presentation transcript:
1The Circulatory System - Blood Part 4: Regulation & Maintenance
2Circulatory SystemCirculatory System aka Cardiovascular System: Responsible for transportation!Blood transports nutrients & oxygen through the vessels, powered by the heart muscle.
3Blood ElementsFormed Elements: Solid elements that make up 45% of blood volume.Red Blood CellsWhite Blood CellsPlateletsPlasma: Clear fluid in which formed elements are suspended, make up 55% of blood volume.
5Blood Properties Two important properties of blood: Viscous: Nearly 5 times more viscous (thick) than water.Osmolarity: The concentration of osmotic solution helps regulate the passage of materials into and out of the blood.
6Plasma Plasma Components: 90% water7% enzymes, nutrients, wastes, hormones, gases, & proteins3% miscellaneous, including amino acids, nitrogenous wastes, and some carbon dioxide & oxygen.Albumins: Proteins produced by the liver, responsible for maintaining osmolarity; influence blood pressure, flow, and fluid balances.Also act as transport proteins for hormones & fatty acids.Globulins: Produced by plasma cells that help with transport (Alpha & Beta Globulins) and immunity (gamma globulins).Fibrinogen: Produced by the liver & is the essential element for blood clotting.Sodium: Important for blood pressure & volume.
8Formed ElementsRed Blood Cells (RBCs) aka Erythrocytes: Primary mode of transport for oxygen & carbon dioxide; make up the majority of formed elements.White Blood Cells (WBCs): Immune cells – will be discussed later!Platelets: Cell fragments that help in blood clotting.Buffy Layer: Layer of WBCs, platelets, & RBCs in the bottom of a tube of blood fresh from the centrifuge.
10Red Blood CellsErythrocytes aka Red Blood Cells (RBCs): Blood element responsible for transporting oxygen shaped like biconcave discs.Shape allows for rapid diffusion throughout the cell due to increased surface area.Hemoglobin: Protein within the RBCs that allows for gas transportation.Iron: Metal critical for hemoglobin production & oxygen transportation.Life Cycle:2,500,000 produced per second.Just over 100 day life cycle – when worn out they lyse and are cleaned up by microphages in the spleen, liver, & bone marrow.
12Red Blood CellsRed Blood Cell Count varies based on altitude & is measured in cells per microliter:Males: 4.7 to 6.1 million cells per microliter.Females: 4.2 to 5.4 million cells per microliter.RBCs outnumber WBCs 700 to 1.
13HemopoiesisHemopoiesis aka Hematopoeisis: The process through which formed elements are produced.Starts with stem cells colonizing bone marrow, spleen, thymus, & liver tissue in the embryo.Myeloid Hemopoiesis: Cell production occurring in the red bone marrow after infancy.
14Hemopoiesis Proginator Cells develop into hemocytoblasts. Hemocytoblasts form the different cells of the formed elements.Erythropoietin (EPO) hormone increases the number of blasts that will turn into RBCs.Thrombopoietin (TPO) increases the formation of platelets.
18White Blood CellsGranulocytes: Contain cytoplasmic ganules (vesicles). Three types:Neutrophils aka Polymorphonuclear Leukocytes (PMN’s): Multilobed nuclei with antimicrobial agents; Gather at infection sites to destroy bacteria through phagocytosis.Eosinophils: Bilobed nuclei; destroy antigen-antibody complexes, allergens, and inflammatory chemicals by phagocytosis; release enzymes that destroy parasitic worms.Basophils: Release histamine to dilate blood vessels and heparin to act as an anticoagulant. These allow WBCs to reach inflamed areas faster.
20White Blood CellsAgranulocytes: White blood cells with no granules. Two varieties:Lymphocytes: Rounded nuclei –B Cells: Antibodies secreted by lymphocytesT Cells: Destroy foreign bodies or cancerous cells.Helper T Cells: Enhance the abilities of other immune cells.Natural Killer (NK) Cells: White blood cells that kill tumors and virus-infected cells as part of the immune response.Monocytes: Largest cells that form macrophages (to phagocytize foreign particles). Also activate other immune cells.
22White Blood CellsDifferential White Blood Cell Count (Differential WBC Count): A calculation of the total number of each kind of WBC in the blood stream.Average adult has a WBC of 5,000-10,000 cells per cubic millimeter.
23Leukopoiesis Leukopoiesis: The production of white blood cells. Hemocytoblasts differentiated into either…B progenitors:T progenitors:Granulocyte macrophage colony-forming unitsGranulocytes & monocytes are stored in red bone marrow until needed.Lymphocytes are stored in lymphoid tissue until mature & needed.
27HemostasisHemostasis: The process of stopping bleeding & preventing blood loss from wounds. Mainly occurs through platelets!5 steps:Platelets secrete growth factors to stimulate fibroblast cell division & close the wound.Platelets secrete chemicals to attract white blood cells.Platelets dissolve blood clots that are no longer needed.Platelets secrete vasoconstrictors which cause vascular spasms to prevent bleeding.Platelets form a platelet plug with their pseudopods adhering to the vessel walls & drawing them together.
29HemostasisCoagulation: The conversion of a soluble fibrinogen into an insoluble fibrin.Fibrin net formed which stops the blood loss.Procoagulants: Clotting factors produced by the liver that trigger coagulation.HIGHLY dependent on Vitamin K for clot formation.3 Steps of Coagulation:Clotting factors go through enzyme reactions via intrinsic or extrinsic pathways to form prothrombinase (enzyme).Prothrombin activator causes prothrombinase to turn prothrombin into thrombin.Thrombin converts fibrinogen to fibrin & forms a clot.
31HemostasisClot Retraction: Tightening of the fibrin clot that pulls the edges of the blood vessel together so that the tissue may repair.Fibrinolysis: The process of clot removal after vessel repair.
33Blood TypesAgglutinogens: Antigens on the surface of the red blood cells that can react when placed with blood of a different “type”.Two Groups of Blood Types based on Agglutinogens:ABO GroupRh Group
34Blood Types ABO Group: Based on Antigens A & B. Type A Blood: Antigen A present, Anti-B antibodies presentType B Blood: Antigen B present, Anti-A antibodies presentType O Blood: Neither antigen present, both antibodies present.Most common blood type.Universal DonorType AB Blood: Both antigens present, neither antibodies present.Least common blood type.Universal ReceiverAgglutinins: Antibodies that create an antigen/antibody reaction (clotting) if blood types are mixed.
36Blood TypesRh Group: Group based on one particular agglutinogen (named after rhesus monkey).Rh-Positive: Rh agglutinogens present on red blood cells.Approximately 90% of populationRh-Negative: Rh agglutinogens not present.Anti-Rh Antibodies: Formed during an initial infusion of Rh+ blood into Rh- patient; leads to hemolytic (anti-clotting) effect during future encounters with Rh+.
37Red Blood Cell Disorders Polycythemia: Excessive levels of RBCs. Causes…HypertensionThrombosisHemhorragePrimary Polycythemia: Typically caused by cancerous tissue.Secondary Polycythemia: Typically caused by hypoxia (lack of oxygen).
39Red Blood Cell Disorders Anemia: Reduction of blood’s capacity to carry oxygen.Iron-deficiency Anemia: Caused by a low level of iron, which is necessary for oxygen bonding.More common in women than men; most common type.Pernicious Anemia: Insufficient hemopoeisis caused by lack of intrinsic factor.Hemorrhagic Anemia: Caused by excessive RBC loss – typically trauma or ulcers.Hemolytic Anemia: Caused by RBCs rupturing prematurely.Thalassemia: Deficiency in hemoglobin production.Aplastic Anemia: Due to destruction of red boon marrow caused by toxins, Gamma radiation, or medications needed for hemopoises.
41Red Blood Cell Disorders Sickle-Cell Disease: Occurs when RBCs are sickle-shaped due to presence of Hb-S hemoglobin.Sickle shape causes blocking of blood vessels which causes pain & fatigue./Primarily found in Asia & AfricaGenetically linked
45White Blood Cell Disorders Leukemia: Cancer of the blood-forming tissues. Death typically occurs from infection or excessive bleeding.Acute Leukemia: Uncontrolled production of immature leukocytes occurs.Chronic Leukemia: Accumulation of mature leukoctyes due to leukocytes not dying at the end of the normal cycle.
47Platelet DisordersHemophilia: Clotting deficiency – typically X-linked inherited.Hemophilia A: Caused by a lack of factor VIII that is necessary for coagulation. Most common type.Hemophilia B: Caused by a lack of factor IX.
49Platelet Disorders Thrombus: An unwanted blood clot. Embolus: An unwanted blood clot that is wandering throughout the blood vessels.Pulmonary Embolism: Blood clot in the lungs.Anticoagulants: Thrombolytic agents that can be used to reduce the possibility of clotting.Ex. Asprin, Willow bark, heparin, etc.
51Anti-Rh Gamma Globulin Blood Type DisordersHemolytic Disease of the Newborn (HDN): Occurs when Rh negative mother is exposed to blood from an Rh positive fetus, causing severe anemia in the infant.Anti-Rh Gamma Globulin (RhoGAM): Injected antibodies that can be given to prevent HDN.Anti-Rh Gamma Globulin