BIOL 2402 Chapter 19 Martini 10th Chapter 19 Blood OS 2013 Openstax: Chapter 18 Chapter 19 Learning Outcomes After completing Chapter 19, you will be able to: 1. Describe the components and major functions of blood and list the physical characteristics of blood. 2. Describe the composition and functions of plasma. 3. List the characteristics and functions of red blood cells, describe the structure and functions of hemoglobin, describe erythropoiesis and how are red blood cell components recycled. 4. List and describe the types of white blood cells based on their structures and functions. 5. Describe the structure, function, and production of platelets. 6. Discuss the mechanisms of hemostasis after an injury. 7. Explain the importance of blood typing and the basis for ABO and Rh incompatibilities. Learning Outcome 1: Describe the components and major functions of blood, and list the physical characteristics of blood. Martini: 19-1 Blood functions and characteristics, pg. 653 Openstax: 18.1 Functions & Characteristics of Blood, pg. 738 ? The study of blood, blood-forming tissues and disorders associated with them is called ____________________________ 1. What type of tissue is blood? _____________________________________ 1a. The extracellular matrix in blood is called _________________________ 2. List the general functions of blood 1 BIOL 2402 Chapter 19 Martini 10th OS 2013 2a. Describe each general function of blood: Transportation: Defense (protection): -against: -against: Maintenance of Homeostasis: 3. Describe basic physical characteristics of blood 3a. blood temperature is about __________________ 3b. Compare blood’s viscosity versus water: 3c. Blood pH is between ________________________ ? Blood’s pH is… a) slightly acidic b) slightly basic c) neutral 3d. Blood volume: how much blood volume do… Adult males have? ____ liters of blood Adult females have? ____ liters of blood ? What causes the difference in blood volume between males and females? Primarily reflects differences in _________________________________________ 2 BIOL 2402 Chapter 19 Martini 10th OS 2013 4. Components of Blood 4a. Blood has ___ components: The term whole blood refers to _________________________ 4b. What is plasma? 4c. What are formed elements of blood? List the blood cells: ________________________________________________ List the cell fragments of blood: ______________________________________ 3. Martini: See Fig. 19-1 Components of Blood: Centrifuged blood sample ? Openstax: Fig. 18.2 What is the buffy coat? 3 BIOL 2402 Chapter 19 Martini 10th OS 2013 4d. What is hematocrit? Another name for hematocrit is ______________________________________ I. What is the normal hematocrite range in: Adult males? __________ Adult females? ___________ Average: ________ Average: ________ II. The sex difference in hematocrit is mainly caused by the fact that: 4e. What is anemia? Disorder of blood characterized by _______________________________________ ___________________________________________________________________ 4f. What is polycythemia? Disorder of blood characterized by _______________________________________ ____________________________________________________________________ Learning Outcome 2: Describe the composition and functions of plasma. Martini: 19-2 Plasma, pg. 656 Openstax: 18.1 Blood Plasma, pg. 739 1. Plasma makes up about _____% of the volume of whole blood. Range: ____________ 2. Normal color of plasma: _________________________________ 3. List the main components of plasma: 4. Describe each main component of plasma: 4a. Water 4ai. __________ component of plasma 4aii. Plasma is about ____% water 4b. Plasma Proteins 4bi. Plasma proteins make about ____% of plasma volume 4bii. List the 3 most abundant plasma proteins: 4 BIOL 2402 Chapter 19 Martini 10th Albumin A. Makes up about ____% of plasma proteins. Clinical levels: _____________________ OS 2013 dL = deciliter B. Name the organ that synthesizes (makes) albumin: _________________ C. List functions of albumin: -Major contributor to: ______________________________ Diaphragm Liver ________________________________________________ Stomach -Transports: _________________________________________________ ___________________________________________________________ Globulins A. Globulins make up _____% of plasma proteins. Clinical levels: _____________________ B. List important plasma globulins: C. Most globulins are made at ________________ Fibrinogen A. Fibrinogen accounts roughly ___% of plasma proteins. Clinical levels: _____________________ B. Function of fibrinogen? C. Name the organ that synthesizes (makes) fibrinogen: _________ 4c. Other solutes (1%) found in plasma: REVIEW Fig. 19-1, Martini, pg. 654-656 (This picture is posted in Eagle Online under “Lecture Notes”, Ch 19 folder) 5 BIOL 2402 Chapter 19 Martini 10th OS 2013 MORE REVIEW: a) List the three formed elements of blood: b) Label the formed elements of blood in the picture to the right: Learning Outcome 3: List the characteristics and functions of red blood cells, describe the structure and functions of hemoglobin, describe erythropoiesis and how are red blood cell components recycled. Martini: 19-3 Red Blood Cells, pg. 657 Openstax: 18.3 Erythrocytes, pg. 745 1. What is another name for red blood cells (RBCs)? _____________________________ 2. RBCs are: 3. Abundance of RBCs 3a. Adult males: 1 microliter (µl) of whole blood contains about _______ million RBCs. 3b. Adult females: 1 microliter (µl) of whole blood contains about ______million RBCs. 4. Describe the functions of a RBCs: Transport __________________ to tissues AND remove ______________________ from tissues. 6 BIOL 2402 Chapter 19 Martini 10th OS 2013 5. Shape and Structure of RBCs 5a. Shape: ______________________________ -Thin: _____________________________ Martini, Fig. 19-2 -Thicker ___________________________ Openstax: Fig. 18.6 Average RBC diameter: _______________ µm = micrometer 5b. The RBC shape (as biconcave disc) has three important effects on its function: 5bi. ______________________________________________________________ 5bii. ______________________________________________________________ __________________________________ __________________________________ Martini: Fig. 19-2 (d) 5biii. _________________________________________________________________ 5c. Does a mature human RBC have nucleus & most organelles? A) Yes 5d. Can RBCs divide? A) Yes B) No 5e. RBCs normally live less than ______ days in circulation. 7 B) No BIOL 2402 Chapter 19 Martini 10th OS 2013 5f. Name the oxygen-carrying protein inside RBCs that causes their red color: _____________________________ 1 RBC contains about ________ million hemoglobins Hemoglobin (Hb) Martini, pg. 659 Openstax, pg. 747 1. What is hemoglobin? 1a. a large molecule composed of __________________________________________ 1b. Hemoglobin is responsible for the RBC’s ability to transport __________________ 2. Normal hemoglobin ranges: 2a. in males: _______ g/dL 1 RBC has about 280 million Hbs 2b. in females: _______ g/dL g/dL = grams per deciliter 3. Hemoglobin (Hb) Structure: 3a. Each Hb molecule has ____ polypeptides chains: ___alpha (α) chains and _____ beta (β) chains Openstaxi: Fig. 18.7 3b. Each Hb chain contains ____ heme molecule. How many heme molecules does one (1) hemoglobin contain? ____ heme molecules 3c. Each heme has an ____________ ion. Each iron ion binds: _______________________________ ? 1(one) Hemoglobin contains _____ iron ions ……………….and each iron binds _____ oxygen molecule (O2) Therefore, 1 (one) hemoglobin transports ____ oxygen molecules. 8 BIOL 2402 Chapter 19 Martini 10th OS 2013 4. Oxyhemoglobin vs. Deoxyhemoglobin 4a. In the lungs, hemoglobin picks up oxygen (O2) which binds to _____________ forming ______________________________ 4b. Blood that contains RBCs filled with oxyhemoglobin is __________ red ? Bright red blood is transported in: a) arteries b) veins 4c. A hemoglobin molecule whose irons have no oxygen bound is called: _____________________________ 4d. Blood that contains RBCs filled with deoxyhemoglobin is ________ red 4e. Hemoglobin also transports carbon dioxide (CO2): 4f. Describe Sickle Cell Anemia: RBC Production, Martini, pg. 661 1. During the first eight weeks of development, blood cells form ______________________________ 2. From the second to fifth month of development, blood cells form _____________________________________ 3. In adults, the only site of blood cells formation is: _____________________________________________ Red bone marrow is found in _______________________________________ 4. RBC formation is called _________________________________ 9 BIOL 2402 Chapter 19 Martini 10th OS 2013 5. Stages in RBC Maturation: Stem cells in red bone marrow Martini, Fig. 19-5 Openstax, Fig. 18.4 6. Regulation of Erythropoiesis 6a. For erythropoiesis to proceed normally, the red bone marrow needs: 6b. Name the hormone that controls directly the production rate of RBCs: 6c. Where is erythropoietin made and released from? MAINLY from the ____________ but it is also released amounts from the ________________ 6d. List other hormones that stimulate indirectly the production of RBCs: 10 in small BIOL 2402 Chapter 19 Martini 10th OS 2013 6e. What causes release of erythropoietin from kidneys and liver? 6ei. Low _________________________________________________________ 6eii. List physiological conditions that cause hypoxia in the body: 6f. What is blood doping? 6fi. List the dangers of blood doping: READ: RBC formation and Turnover, Martini: pg. 660-661 (also posted in EO2) Fill in the blanks to each question about your reading assignment: 1. A RBC lives for about ____ days. 2. Describe how RBCs get damaged as they are close to 120 days: 3. Do RBCs have a repair mechanism (can they repair damages to them?)? 4. About ___% of circulating RBCs are replaced each day and in the process approximately ___ million new RBCs enter the bloodstream each second! 5. Name the organs and tissues where old and damaged RBCs are removed: 11 BIOL 2402 Chapter 19 Martini 10th OS 2013 6. Name the cell that removes damaged RBCs: _________________________ Review: What type of cells are macrophages? 7. What is hemolysis? 8. What is hematuria? 7. Once macrophages in the spleen, liver, and bone marrow, engulf old and damaged RBCs, each part of the hemoglobin molecule has different fates. Describe what occurs to each component of hemoglobin as it is degraded by macrophages: Globular Proteins (alpha chains & beta chains): -are broken apart into ___________________ -what occurs to the amino acids produced? β1 chain The iron ion (Fe+2) in the heme portion of hemoglobin: -may be stored in the _______________ cell -released into the __________________, where it binds to ___________, a plasma protein. α2 chain α1 chain Hemoglobin The non-iron portion of heme: -is degraded into a waste molecule called ______________, an organic compound with green color. -Biliverdin is then converted to ______________, an orange-yellow pigment, and released into the ____________________ Bilirubin binds to __________ and is transported to the liver for excretion in ______ If bilirubin levels increase in blood, yellowish of the skin and sclera of the eyes occurs, a condition known as _______________ -EXCRETION OF BILIRUBIN: Bacteria in the large intestine convert bilirubin to urobilins and stercobilins. Feces are yellow-brown or brown due to the presence of urobilins and stercobilins in varying proportions. The kidneys excrete urobilins, causing in urine its yellow color! REVIEW Questions (do them on your own) ? 1. Jim develops a blockage in his renal arteries that restricts blood flow to the kidneys. What effect will this have on his hematocrite? 12 β2 chain BIOL 2402 Chapter 19 Martini 10th OS 2013 2. How would the hematocrite change after an individual suffered a significant blood lost? 3. Name the MOST common (abundant) formed element of blood: Learning Outcome 4: List and describe the types of white blood cells based on their structures and functions. Martini: 19-5 White Blood Cells, pg. 666 Openstax: 18.4 Leukocytes and Platelets, pg. 752 1. List another name for WBCs: _____________________________ Martini: Table 19-3 Openstax: Fig. 18.5 Where are WBCs made in the body? 2. List functions of WBCs: 3. Do WBCs have nuclei, organelles? a. Yes 3a. Can WBCs divide? a. Yes b. No b. No 4. What is the normal WBC count in men and women? ____________________________________________________________________ 4a. What is leukocytosis? 4b. What is leukopenia? 5. How long do WBCs live in circulation? 13 BIOL 2402 Chapter 19 Martini 10th OS 2013 6. List the 5 types of WBCs (which ones are granulocytes and which ones are agranulocytes?) Martini: Table 19-3 1. Openstax: Fig. 18.5 2. 3. 4. 5. Table 1 (next page): to be completed in lab **Use Your Textbook to complete the table on next page 14 BIOL 2402 Chapter 19 Martini 10th TABLE 1. OS 2013 Characteristics and Functions of White Blood Cells (WBC) White Blood Cell Quantity Appearance of nucleus & granules or cytoplasm Specific Functions Granulocytes 1. Neutrophil Another name for neutrophils: 2. Eosinophil 3. Basophil Range: ______________ Differential count: ______________ Range: ______________ Differential count: ______________ Range: ______________ Differential count: ______________ Agranulocytes 1.Monocyte Range: ______________ Differential count: ______________ 2.Lymphocyte Range: ______________ Differential count: ______________ REVIEW QUESTIONS ABOUT WBCS: 1. Which WBC type increases in blood with a parasitic worm infection?_____________ 2. The first WBC to arrive at the site of an injury is _____________________________ 3. Which WBC releases histamine and heparin?________________________________ What is the function of histamine? 15 Site of production BIOL 2402 Chapter 19 Martini 10th OS 2013 What is the function of heparin? 4. Which WBC would you find in the greatest numbers in an infected cut?__________ 5. List three WBC that can phagocytize pathogens. What is phagocytosis? 6. When monocytes move out of the bloodstream and arrive to tissues, they are called _______________ 7. Cellular debris, wastes, and what type of WBC form together the pus associated with infected wounds? 8. Name the three types of lymphocytes: WBC Circulation and Movement Martini, pg. 667 Openstax, pg. 752-753 1. While RBCs spend their days circulating in blood vessels, WBCs ________________ ____________________________________________________________________ 2. Describe the emigration of WBCs from a blood capillary to injured/infected tissues: Openstax: Fig. 18.10 A. B. C. 16 Neutrophil releases chemicals that break apart pathogens 16 BIOL 2402 Chapter 19 Martini 10th OS 2013 Learning Outcome 5: Describe the structure, function, and production of platelets. Martini: 19-6 Platelets, pg. 674 Openstax: Platelets, pg. 755 1. List another name given to platelets: _____________________________ 2. A platelet is NOT _____________________ ___________________________________ ___________________________________ ___________________________________ 3. Platelets are made and released from _______________________________ Red bone Marrow at Spongy Bone 4. Platelet count in blood: ____________________ 5. How long do platelets live in circulation? _____ days. 5a. Platelets are mainly removed in ____________ ______________________________________ 6. List functions of platelets: 7. Disorders of Platelets 17 BIOL 2402 Chapter 19 Martini 10th OS 2013 7a. Thrombocytopenia: 7b. Thrombocytosis: Learning Outcome 6: Discuss the mechanisms of hemostasis after an injury. Martini: 19-7 Hemostasis, pg. 675 Openstax: 18.5 Hemostasis, pg. 757 1. What is hemostasis? _____________________________________________________ 2. Hemostasis consists of 3 phases: A. B. C. 2a. Vascular Phase 2ai. ____________________________of broken blood vessels near injury reducing blood lost 2aii. 2aiii. Endothelial cells lining the inside of the blood vessel Wall release _________________________________ ____________________________________________ Martini, Fig. 19-11 2b. Platelet Phase Openstax, Fig. 18.14 2bi. Platelets adhere to _________________________________ 18 BIOL 2402 Chapter 19 Martini 10th OS 2013 2bii. Platelet plug releases chemicals promoting ______________________________________ _______________________________________ 2biii. Platelet plug helps ______________________ ______________________________________ 2c. Coagulation (blood clotting) Phase 2ci. Last but ______________________________________________________ 2cii. Main goal of coagulation phase: 2ciii. Blood clot forms as a result of: Martini, Fig. 19-11 Openstax, Fig. 18.14 2civ. Clotting factors are secreted MAINLY by _________________________________________________________ 2cv. The clotting cascade requires ____ ions The liver needs Vitamin ____ to synthesize (make) several clotting factors. 19 BIOL 2402 Chapter 19 Martini 10th OS 2013 3. Clot Retraction & Fibrinolysis 3a. Clot Retraction: _______________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 3b. Fibrinolysis is: -The gradual _________________________________________________________ -Inactive plasma protein plasminogen becomes active __________________: What is the function of plasmin? REVIEW: hemostasis has three phases: Learning Outcome 7: Explain the importance of blood typing and the basis for ABO and Rh incompatibilities. Martini: 19-4 The ABO Blood types & Rh Factor, pg. 664 Openstax: 18.6 Blood Typing, pg. 762 1. What is an antigen? 2. RBCs have at least ______________________________________________________ _____________________________________________________________________ 3. The three (3) most important surface antigens on RBCs plasma membrane are: 4. Your blood type is determined by: 20 BIOL 2402 Chapter 19 Martini 10th OS 2013 Fun Fact: In USA, the most common 5. Based on RBC surface antigens, there are four blood types: blood types are O (47%) and A (41%). Type ___ blood Type of blood a Type A blood person can receive: Type of blood a Type B blood person can receive: Type ___ blood Type ____ blood Type of blood a Type AB blood person can receive: Type ___ blood ? Type of blood a Type O blood person can receive: People with this type of blood are called “universal recipients”: __________________ People with this type of blood are called “universal donors”: ____________________ What is agglutination? 21 BIOL 2402 Chapter 19 Martini 10th OS 2013 6. Rh Positive (Rh+) indicates: 6a. The absence of this antigen is indicated as: _________________________ 6b. When the complete blood type is recorded: For example: READ: -Hemolytic Disease of the Newborn, Martini pg. 668-669 Openstax pg. 764-765 -Use your notes AND textbook to answer chapter assessment questions at the end Ch 19 in yourAP Textbook. -Visit Mastering A&P to do different activities to assess your Ch 19 knowledge. Test Your Knowledge… 1. Name the protein found inside RBCs that gives RBCs their red color. Also list the normal range of this protein (in grams per 100 ml of blood) for women and men. 2. Name the fluid portion of whole blood: _________________________________ 3. The major ACTIVE protein that forms a blood clot is? a. plasmin b. fibrin c. plasminogen d. albumin e. fibrinogen 4. Which of the formed elements of blood ARE NOT cells? ___________________ 22 BIOL 2402 Chapter 19 Martini 10th OS 2013 5. There are 5 types of white blood cells, classified according to the presence or absence of granules: three WBCS are granulocytes and two are agranulocytes. Granulocytes: Why are granulocytes called “Granulocytes”? List all granulocytes. Agranulocytes: Why are agranulocytes called “Agranulocytes”? List all agranulocytes. Color the granulocytes according to the staining pattern of their granules: Neutrophil: granules stain light purple. Eosinophil: granules stain deep red. Basophil: granules stain deep blue. 6. How are granulocytes similar to agranulocytes? How do they differ? 7. Which organ is responsible for the synthesis of most (90%) plasma proteins? 8. Describe the physiological mechanism that dissolves blood clots. 23 BIOL 2402 Chapter 19 Martini 10th 9. Place the most appropriate number in the blank provided. ______ Hematopoiesis 1. Macrophage ______ Basophil 2. Antibodies ______ Monocyte 3. Universal donor ______ Eosinophil 4. Clotting ______ Thrombocytes 5. Dilates blood vessels ______ Type O blood 6. Destroys parasites ______ Lymphocytes 7. Red bone marrow 10. At least 55% of normal blood is composed of… a. WBCs b. Plasma c. Metabolic wastes 11. RBCs do not have this characteristic: a. a large nucleus b. hemoglobin in the cytoplasm c. the ability to carry carbon dioxide d. a biconcave disc shape 12. Which statement is true about hemoglobin? a. give WBC granules their color b. carries oxygen and carbon dioxide at the same time c. commonly found in plasma d. is removed from the body as urea 13. A lack of this chemical reduces RBC formation: a. leukotriene b. vitamin K c. erythropoietin d. prothrombin 24 d. thrombocytes OS 2013
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