Blood Composition and Functions
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Questions and Answers

What can cause Haemolytic Disease of the Newborn (HDN)?

  • Excessive iron levels in the mother's diet
  • Incompatible ABO blood types between mother and child (correct)
  • High levels of oxygen in the mother's blood
  • Infection in the mother's lymphatic system
  • Which of the following statements is true regarding the Rh factor?

  • Rh-negative mothers may produce antibodies against Rh-positive blood (correct)
  • Rh-positive blood does not contain any Rh antigens
  • Rh-positive mothers cannot have Rh-negative babies
  • Rh-negative individuals can only receive Rh-positive blood
  • Which blood group antigen is found on the surface of type A red blood cells?

  • B antigen
  • O antigen
  • A antigen (correct)
  • AB antigen
  • What is primarily responsible for the production of erythrocytes in adults?

    <p>Bone marrow</p> Signup and view all the answers

    Which condition may result from an Rh incompatibility during pregnancy?

    <p>Erythroblastosis fetalis</p> Signup and view all the answers

    What role does erythropoietin play in erythropoiesis?

    <p>It stimulates red blood cell production</p> Signup and view all the answers

    Which blood group is considered universal donor?

    <p>Type O</p> Signup and view all the answers

    How is the ABO blood group system determined?

    <p>Through genetic inheritance of specific antigens</p> Signup and view all the answers

    What is a key characteristic of blood group antigens?

    <p>They can provoke immune responses in incompatible transfusions</p> Signup and view all the answers

    What happens during the clotting cascade?

    <p>Fibrinogen is converted into fibrin</p> Signup and view all the answers

    What does the O allele contribute to the ABO blood group system?

    <p>Does not modify the glycoprotein</p> Signup and view all the answers

    Which of the following statements about the Rh factor is true?

    <p>Rh- blood lacks the Rh antigen on the surface of red blood cells.</p> Signup and view all the answers

    How is haemolytic disease of the newborn commonly prevented?

    <p>Injection of Anti-D during pregnancy and after delivery.</p> Signup and view all the answers

    What percentage of the Australian population has O+ blood type?

    <p>40%</p> Signup and view all the answers

    Which antigen modification occurs with the A allele in the ABO blood group system?

    <p>Addition of N-acetyl galactosamine</p> Signup and view all the answers

    In the case of Rh incompatibility, what can happen during subsequent pregnancies?

    <p>The mother can produce harmful anti-Rh antibodies.</p> Signup and view all the answers

    What is the main consequence of a Rh- mother receiving Rh+ blood?

    <p>Production of anti-Rh antibodies.</p> Signup and view all the answers

    What is typically administered to Rh- mothers during pregnancy to prevent Rh disease?

    <p>Anti-D immunoglobulin.</p> Signup and view all the answers

    How often are anti-Rh antibodies administered to ensure safety against haemolytic disease?

    <p>At 28 and 34 weeks of gestation.</p> Signup and view all the answers

    In which scenario is the administration of anti-D immunoglobulin not necessary?

    <p>An Rh+ woman after childbirth</p> Signup and view all the answers

    What is a primary reason for administering anti-D immunoglobulin to an Rh- mother?

    <p>To prevent the generation of anti-D antibodies</p> Signup and view all the answers

    What condition might necessitate immediate administration of anti-D immunoglobulin?

    <p>Antepartum haemorrhage occurring in the third trimester</p> Signup and view all the answers

    Which of the following is a sensitizing event that may result in the need for anti-D immunoglobulin?

    <p>Amniocentesis procedure</p> Signup and view all the answers

    In cases of sensitization, what is the primary concern for managing the fetus?

    <p>Assessing antibody concentration carefully</p> Signup and view all the answers

    Which of these procedures is NOT typically associated with a risk of sensitization in Rh- women?

    <p>Routine blood tests</p> Signup and view all the answers

    What is the potential consequence for a fetus if a Rh- mother has sensitized and developed anti-D antibodies?

    <p>Possibility of hemolytic disease of the newborn</p> Signup and view all the answers

    Why is the issue of anti-D immunoglobulin supply a concern in some regions?

    <p>Limited number of suitable donors</p> Signup and view all the answers

    What is an effect of hemolytic disease of the newborn?

    <p>Potential severe anemia in the newborn</p> Signup and view all the answers

    Which blood group is NOT considered safe for a Rh- individual to receive without sensitization risks?

    <p>A+</p> Signup and view all the answers

    Study Notes

    Blood Composition

    • Blood is 55% plasma and 45% formed elements
    • Formed elements are 99% red blood cells (RBCs) and <1% white blood cells (WBCs) and platelets
    • Haematocrit is the percentage of blood volume occupied by RBCs (47% ± 5% for males, 42% ± 5% for females)

    Blood Plasma

    • Primarily water (over 90%)
    • Proteins (7%): albumin (maintains osmotic pressure), globulins (transport and antibodies), fibrinogen (blood clotting)
    • Other substances: electrolytes, nutrients, hormones, gases, waste products

    Blood Cells

    • Red blood cells (erythrocytes): biconcave discs, contain haemoglobin (gives blood its colour)
    • White blood cells (leukocytes): granular (eosinophils, basophils, neutrophils) and agranular (lymphocytes, monocytes)
    • Platelets (thrombocytes): cell fragments involved in clotting

    Blood Functions

    • Transportation: oxygen, carbon dioxide, metabolic wastes, nutrients, heat, hormones, medications
    • Regulation: pH (buffers), body temperature (absorbing and distributing heat), intracellular fluid composition
    • Protection: immunity (WBCs), inflammation

    Physical Characteristics of Blood

    • Thicker (more viscous) than water, flows more slowly
    • Temperature: 38°C
    • pH: around 7.4 (range 7.35-7.45)
    • Blood volume: 5-6 litres in males, 4-5 litres in females
    • 8% of total body weight

    Haematopoiesis (RBC Production)

    • Occurs in bone marrow
    • Continuously replaced (100 billion/day)
    • Regulated by erythropoietin (EPO) released by kidneys

    Blood Clotting

    • Cascade of reactions involving clotting factors (proteins, calcium) and platelets
    • Two main pathways:
    • Extrinsic: occurs when damaged tissues release factors
    • Intrinsic: occurs when platelets contact damaged endothelium
    • Forms a fibrin meshwork that traps blood cells and forms a clot

    Blood Groups

    • ABO system: A, B, AB, O blood types; determined by surface antigens
    • Rh factor: Rh+ or Rh- blood type; another important surface antigen
    • Incompatibility can cause agglutination (clumping) leading to haemolytic reactions
    • Risk of haemolytic disease of newborns (HDN) if mothers have different blood types

    Learning Outcomes

    • Brief description of blood layers composition and function from a haematocrit test
    • Process of haemostasis & clotting cascade
    • Erythrocyte production (haematopoiesis)
    • Basis of blood groups and safe transfusion

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    Related Documents

    Introduction to Blood PDF

    Description

    This quiz explores the components of blood, including plasma, formed elements, and their functions. Understand the roles of red and white blood cells, platelets, and blood plasma. Test your knowledge on haematocrit levels and the various substances found in blood.

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