Blood functions to transport nutrients, gases, hormones, and waste throughout the body. It also helps regulate pH and temperature. Blood is composed of plasma and formed elements, including red blood cells, white blood cells, and platelets. Plasma is 55% of blood volume and contains water, proteins, electrolytes, nutrients, and waste products. The major proteins are albumin, globulins, and fibrinogen, which help regulate pressure, viscosity, coagulation, immunity, and transport of substances.
2. . Introduction
A. The internal environment is regulated by the
fluids which bathe the cells:
1. Interstitial fluid (IF) is found outside cells
and in between the cells
2. Lymph inside lymph vessels
3. Blood within blood vessels
B. Hematology is the science which studies blood
and blood disorders
3. Blood
Fluid connective tissue
Functions include
Transporting dissolved gases, nutrients, hormones,
and metabolic wastes
Regulating pH and ion composition of interstitial
fluids
Restricting fluid loss at injury sites
Defending the body against toxins and pathogens
Regulating body temperature by absorbing and
redistributing heat
5. Composition of Blood
Total Blood Volume : 5-6 liters (8% of
body weight or 80ml/kg body weight)
Specific Gravity : 1050-1060
Viscosity : 4-5 times that of water
Ph : 7.4 (.05); it is alkaline in nature
In acidosis Ph of blood falls below 7.38
and in alkalosis Ph is more than 7.42
8. Composition of Blood
Blood contains plasma & formed
elements(cells)
Cells represent 45% of blood volume
Hematocrit represents the percentage of red
blood cells in blood (called Packed Cell
Volume (PCV)
1. A lower than normal hematocrit is representative
of a condition known as anemia
2. An abnormally high hematocrit is representative
of polycythemia
Hematocrit “ for males: 40%-54% (47%);
Females: 38%-46% (42%)
12. Plasma is a clear ,straw colored fluid
portion of blood & represents 55% of
the total blood volume.
It contains 91% water and 9% solids
( 1% inorganic molecules ,8% organic
molecules)
13. The major inorganic Of 8% organic molecules
molecules are Na+
7% are Plasma
,Ca++, Hco3-, K+ , Mg++,
Cu++, Po4-3 Proteins
(6.4-8.3 gm%)
1% are Non Protein
Nitrogenous
substances(urea,Uric
acid,Creatinine,Xanth
in)
14. . plasma composition
1. 92% water
2. 9% solutes
a. Proteins -albumins; globulins (alpha, beta,
gamma); fibrinogen
b. Nutrients
c. Enzymes
d. Hormones
e. Respiratory gases (oxygen, carbon dioxide)
f. Electrolytes (sodium, chloride, potassium)
g. Waste products (urea, uric acid, creatinine,
H+, etc)
20. Plasma proteins
concentration 65 –80 g l (6.4-8.3gm%)
simple or conjugated (glycoproteins, lipoproteins)
separation:
a) salting-out methods albumin, globulins, fibrinogen
b) electrophoresis albumin, globulin 1, 2, , fractions:
-
2
1
albumin
+
21. Plasma proteins
more than 90% are synthesized in the liver
Albumins
55% of plasma proteins
Responsible for viscosity and osmotic pressure of blood
3-5 gm% (average 4.8gm%)
24. Globulins
~38% of plasma proteins
Include immunoglobins which attack foreign proteins
and pathogens
Include transport globulins which bind ions, hormones
and other compounds
Fibrinogen
Converted to fibrin during clotting
Removal of fibrinogen leaves serum
25. Functions of Plasma Proteins
Exert Osmotic Pressure :
Contribution to Blood Viscosity
Role in Coagulation of Blood
Role in Defense Mechanism of Body
Role in maintaining acid –base balance of body
Transport Function
26. Exert osmotic pressure
Plasma proteins can’t cross capillary membrane
so exert colloidal osmotic pressure of about
25mmHg on capillary membrane. 80% of COP is
contributed by Albumin
COP plays an important role in exchange of
water between blood & tissue fluid
At arterial end of capillaries, due to high
Hydrostatic Pressure than COP there occurs
filtration of fluid out in tissues
At venous end of capillaries due to lower HP than
COP there occur absorption of fluid from tissues
in to vessels
27. Contribution to Blood Viscosity
Shape of Plasma Proteins Greatly contribute
to Viscosity of Blood.
Fibrinogen & globulins are main contributors
due to their asymetrical shape
The Blood Viscosity plays an important role in
the maintenance of Blood Pressure by
providing resistance to flow of blood .
28. Role in Coagulation of Blood
The Fibrinogen ,Prothrombin & other
coagulation proteins present in plasma play
important role in the coagulation of Blood.
Whenever ,there is injury to blood vessels, the
fibrinogen is converted in to fibrin which form
blood clot
29. Role in Defense
The Gamma globulins are anti bodies which
plays an important role in the immune
system meant for defense of the body
against the micro-organisms
30. Acid-Base Balance
Plasma Proteins acts as Buffers
Contribute for 15% buffering capacity of Blood
PP are amphhoteric in nature means can
combine with acids and bases.
In Acidic Ph the NH2 group of the proteins acts
as base & accept proton & is converted to NH4
In Alkaline Ph the COOH group of the protein
act as acid & can donate a proton & thus
become COO-
31. Transport Function
PP can combine easily with many substances
& play an essential role in their transport
CO2 is transported by PP in the form of carb-
amino compounds
Thyroxine- is transported by an alpha –
globuline called TBP
Cortisol is transported by
transcortin(mucoprotein)
32. Transport Function
Vitamins A,D & E are transported by the high
and low density lipoproteins.
Bilirubin is transported with Albumin & also
with fractions of alpha globulin.
Drugs are transported with Albumin
Ca++ of plasma is 50% bound to proteins for
transport.
Cu is bound to ceruloplasmin(alpha globulin)
for transport
Free HB in the vessels is bound to haptoglobin
& is carried to reticulo-endothelial system
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37. Causes of Albumin Deficiency
Liver diseases (cirrhosis) – decrease in the ratio of albumin to
globulins
Protein malnutrition
Excessive excretion by kidneys (renal disease)
Mutation causing analbuminemia (affects splicing)