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Erythrocytes, or red blood cells (RBCs)
Leukocytes, or white blood cells (WBCs)
Platelets
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the percentage of formed elements out of the total blood volume - also called packed cell volume (PCV) |
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majority of the ‘formed elements’
hemoglobin, which is a red pigment, is part of each cell
hematocrit – how many red blood cells
and since most are RBCs – a measurement of health
RBCs production is stimulated by erythropoietin
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RBCs production is stimulated by |
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how many red blood cells
and since most are RBCs – a measurement of health
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Biconcave discs, anucleate, essentially no organelles
Filled with hemoglobin (Hb), a protein that functions in gas transport
Contain the plasma membrane protein spectrin and other proteins that:
Give erythrocytes their flexibility
Allow them to change shape as necessary
can form stacks for smoother flow
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Biconcave shape has a huge surface area relative to volume
Erythrocytes are more than 97% hemoglobin
ATP is generated anaerobically, so the erythrocytes do not consume the oxygen they transport
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Structural characteristics contribute to RBCs gas transport function
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RBCs are dedicated to respiratory gas transport
Hb reversibly binds with oxygen and most oxygen in the blood is bound to Hb
Hb is composed of the protein globin, each bound to a heme group
Each heme group bears an atom of iron, which can bind to one oxygen molecule
Each Hb molecule can transport four molecules of oxygen
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better at taking and holding oxygen |
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holding carbon dioxide
this molecule changes shape as it binds
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The life span of an erythrocyte is |
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Dying RBCs are engulfed by |
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this is the largest collection of lymphoid tissue in the body
but it functions in both the circulatory and the lymphatic system
removes worn blood cells and platelets
stores iron from recycled RBCs
stores platelets
immune responses from B and T cells occur here as blood and lymph passes through
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RBC membranes have ? on their external surface |
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Unique to the individual
Recognized as foreign if transfused into another individual
Promoters of agglutination and are referred to as agglutinogens
Presence or absence of these antigens is used to classify blood groups
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Humans have 30 varieties of naturally occurring |
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The antigens of the ABO and Rh blood groups |
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cause vigorous transfusion reactions when they are improperly transfused |
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Two antigens (A and B) on the surface of the RBCs
Two antibodies in the plasma (anti-A and anti-B)
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The ABO blood groups consists of |
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serious hemolytic reactions |
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Agglutinogens and their corresponding antibodies cannot be mixed without |
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Presence of any of the eight Rh agglutinogens on RBCs is indicated as |
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Anti-Rh antibodies are not spontaneously formed in |
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However, if an Rh– individual receives Rh+ blood, |
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Hemolytic disease of the newborn |
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– Rh+ antibodies of a sensitized Rh– mother cross the placenta and attack and destroy the RBCs of an Rh+ baby
Rh– mother becomes sensitized when exposure to Rh+ blood causes her body to synthesize Rh+ antibodies
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an invader
Ex. bacteria or virus
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Normally antibodies are made when the body is challenged by an |
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But the two Anti-A and Anti-B type antibodies |
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are created just after you are born – no need for prompting. They just appear |
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body meets a cell with the Rh marker on it
this would be when you are Rh - negative
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The Anti-Rh antibodies only appear after your |
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blood has abnormally low oxygen-carrying capacity
It is a symptom rather than a disease itself
Blood oxygen levels cannot support normal metabolism
Signs/symptoms include fatigue, paleness, shortness of breath, and chills
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lack of RBCs, lack of Hb, or faulty Hb |
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result of acute or chronic loss of blood |
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prematurely ruptured RBCs as in transfusion reactions and certain infections where bacteria destroy the RBCs |
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destruction or inhibition of red bone marrow by drugs radiation or viruses |
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A secondary result of hemorrhagic anemia
Inadequate intake of iron-con
Impaired iron absorption
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Iron-deficiency anemia results from |
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results from:
Deficiency of vitamin B12
Lack of intrinsic factor needed for absorption of B12
Treatment is intramuscular injection of B12;
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– results from a defective gene coding for an abnormal Hb called hemoglobin S (HbS)
HbS has a single amino acid substitution in the beta chain
This defect causes RBCs to become sickle-shaped in low oxygen situations
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polycythemia
or blood dopping |
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excess RBCs that increase blood viscosity |
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the only blood components that are complete cells:
Are less numerous than RBCs
Make up 1% of the total blood volume
Can leave capillaries via diapedesis
Move through tissue spaces
do NOT carry oxygen
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neutrophils, eosinophils, and basophils
Contain cytoplasmic granules that stain specifically (acidic, basic, or both) with Wright’s stain
Are larger and usually shorter-lived than RBCs
Have lobed nuclei
Are all phagocytic cells
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are our body’s bacteria slayers |
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account for 1–4% of WBCs
Have red-staining, bilobed nuclei connected via a broad band of nuclear material
Have red to crimson (acidophilic) large, coarse, lysosome-like granules
Lead the body’s counterattack against parasitic worms
Lessen the severity of allergies by phagocytizing immune complexes
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Account for 0.5% of WBCs and:
Have U- or S-shaped nuclei with two or three conspicuous constrictions
Are functionally similar to mast cells
Have large, purplish-black (basophilic) granules that contain histamine
Histamine – inflammatory chemical that acts as a vasodilator and attracts other WBCs (antihistamines counter this effect)
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lymphocytes and monocytes:
Lack visible cytoplasmic granules
Are similar structurally, but have different jobs
Have spherical (lymphocytes) or kidney-shaped (monocytes) nuclei
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Account for 25% or more of WBCs and:
Have large, dark-purple, circular nuclei with a thin rim of blue cytoplasm
Are found mostly enmeshed in lymphoid tissue (some circulate in the blood)
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There are two types of lymphocytes: |
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function in the immune response |
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give rise to plasma cells, which produce antibodies |
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account for 4–8% of leukocytes
They are the largest leukocytes
They have abundant pale-blue cytoplasm
They have purple-staining, U- or kidney-shaped nuclei
They leave the circulation, enter tissue, and differentiate into macrophages
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Are highly mobile and actively phagocytic
Activate lymphocytes to mount an immune response
Monocytes use the bloodstream for about a day to circulate
Then they enter tissues and are called |
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involves myeloblasts- probably PMNs |
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involves blast-type cells and primarily affects children |
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is more prevalent in older people |
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Immature WBCs are found in the bloodstream in all leukemias
Bone marrow becomes totally occupied with cancerous leukocytes
The WBCs produced, though numerous, are not functional
Death is caused by internal hemorrhage and overwhelming infections
Treatments include irradiation, antileukemic drugs, and bone marrow transplants
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are fragments of megakaryocytes which remain in the bone marrow
Platelets function in the clotting mechanism by forming a temporary plug that helps seal breaks in blood vessels
Their granules contain serotonin, Ca2+, enzymes, ADP, and platelet-derived growth factor (PDGF)
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circulate 9-12 days then removed by phagocytes
350,000 /u l , formation stimulated by thrombopoietin, IL – 6, others
about 1/3 in spleen / liver at any time
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1. transport chemicals to site needed, to initiate and control clotting
2. clump together forming a plug until clotting occurs
3. contract their actin and myosin filaments to reduce the size of the clot and the break in the vessel
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Listed Functions of Platelets |
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large cell that remains in the bone marrow
breaks off pieces of itself and releases them to the blood
can release about 4000 pieces before it is degraded
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diminishes or cuts off the blood supply to the area |
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when you do this there is a diminished amount of oxygen to that part |
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since cells can live for only a short time without oxygen = result is soon death of cells or area = |
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Disseminated Intravascular Coagulation (DIC |
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widespread clotting in intact blood vessels
Residual blood cannot clot
Blockage of blood flow and severe bleeding follows
Most common as:
A complication of pregnancy
A result of septicemia or incompatible blood transfusions
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hereditary bleeding disorders caused by lack of clotting factors |
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– most common type (83% of all cases) due to a deficiency of factor VIII |
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due to a deficiency of factor IX |
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von Willebrand disease (vWD |
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most common of the inherited bleeding disorders
person is missing this stabilizer for one of the factors
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