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FUNCTIONS OF BLOOD
Transports oxygen, carbon
dioxide, nutrients, hormones,
heat, and wastes.
Regulates pH, body temperature,
and water content of cells.
Protects against blood loss through clotting,
and against disease through phagocytic white
blood cells and proteins such as antibodies,
interferons, and complement.
RED BLOOD CELLS / ERYTHROCYTES
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a.
b.
a.
b.
FUNCTIONS:
2.
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MECHANISM
Intrinsic factor binds tightly with the vitamin
B12. In this bound state, the B12 is protected
from digestion by the gastrointestinal
secretions.
Still in the bound state, intrinsic factor binds
to specific receptor sites on the brush border
membranes of the mucosal cells in the ileum
Vitamin B12 is then transported into the
blood during the next few hours by the
process of pinocytosis, carrying intrinsic
factor and the vitamin together through the
membrane.
(-) Intrinsic Factor = decreases availability of
vitamin B12 because of faulty absorption of the
vitamin.
Maturation Failure Caused by Folic Acid
(Pteroylglutamic Acid) Defciency
Normal: 4-5g
65%: Hemoglobin
4%: Myoglobin
1%: Various Heme Compounds that promote
intracellular oxidation
0.1%: Combined with the protein transferrin
in the blood plasma
15-30%: Stored for later use, mainly in the
reticuloendothelial system and liver
parenchymal cells, principally in the form of
ferritin.
TRANSPORTATION OF IRON
HEMOGLOBIN
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HEMOGLOBIN FORMATION
a.
b.
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Normal Value
Male: 15g/dL
Female: 14g/dL
Synthesis of hemoglobin begins in the
proerythroblasts It will continue in the
reticulocytes stageLeaving of erythrocytes
in the bone marrow and will pass to the
bloodstream Formation of Hemoglobin
until they become mature erythrocytes.
IRON METABOLISM
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DESTRUCTION OF HEMOGLOBIN BY
MACROPHAGES.
When RBCs burst and release their
hemoglobin, the hemoglobin is phagocytized
almost immediately by macrophages in
many parts of the body, but especially by the
Kuper cells of the liver and macrophages of
the spleen and bone marrow.
During the next few hours to days, the
macrophages release iron from the
hemoglobin and pass it back into the blood, to
be carried by transferrin either to the bone
marrow for the production of new RBCs or to
Polycythemia
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1.
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AKA: Thrombocytes
They are minute discs 1 to 4 m in diameter
Formed in the bone marrow from
megakaryocytes
a. MEGAKARYOCYTES
Extremely large hematopoietic cells in the
marrow
The megakaryocytes fragment into the
minute platelets either in the bone marrow or
soon after entering the blood, especially as
they squeeze through capillaries.
Normal Value: 150-450x103 per L
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b.
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d.
O-A-B SYSTEM
A AND B ANTIGENSAGGLUTINOGENS
Two antigenstype A and type Boccur on
the surfaces of the RBCs in a large proportion
of human beings
It is these antigens (also called agglutinogens
because they often cause blood cell
agglutination) that cause most blood
transfusion reactions
Because of the way these agglutinogens are
inherited, people may have neither of them
on their cells, they may have one, or they may
have both simultaneously
AGGLUTININS
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BLOOD TYPING
The RBCs are first separated from the plasma
and diluted with saline solution.
One portion is then mixed with anti-A
agglutinin and another portion with anti-B
agglutinin
If the RBCs have become clumpedthat is,
agglutinatedone knows that an antibodyantigen reaction has resulted
RH BLOOD TYPES
Designated as C, D, E, c, d, and e
A person who has a C antigen does
not have the c antigen, but the person missing the
C antigen always has the c antigen.
The same is true for the D-d and E-e antigens.
Also, because of the manner of inheritance of
these factors, each person has one of each of the
three pairs of antigens
The type D antigen is widely prevalent in the
population and considerably more antigenic than
the other Rh antigens
Anyone who has this type of antigen is said to
be Rh positive, whereas a person who does not
have type D antigen is said to be Rh negative
However, it must be
noted that even in Rh-negative people, some of the
other Rh antigens can still cause transfusion
reactions, although the reactions are usually much
milder
Rh Immune Response
Formation of Anti-Rh Agglutinins
CHARACTERISTICS OF RH TRANSFUSION
REACTIONS.
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