Blood Composition Overview
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Questions and Answers

What is the primary focus of the session led by Associate Professor Mike Todorovic?

  • Blood Groups only
  • Composition and Function of Blood (correct)
  • Blood Clotting only
  • Haematopoiesis only
  • Which learning outcome involves understanding the process of blood clotting?

  • Understand the basis of blood groups
  • Outline erythrocyte production (haematopoiesis)
  • Describe the composition and function of blood layers
  • Describe the process of haemostasis & the clotting cascade (correct)
  • What is covered in the workshop related to blood groups?

  • Safe transfusion practices (correct)
  • Retention of reticulocytes
  • Haematopoiesis
  • Composition of blood plasma
  • What material is recommended for further information on blood?

    <p>Marieb &amp; Hoehn, Human Anatomy and Physiology, Global Edition</p> Signup and view all the answers

    What is a possible indicator of the level of erythropoiesis?

    <p>Reticulocyte levels</p> Signup and view all the answers

    How long do reticulocytes mature in the bloodstream?

    <p>1-2 days</p> Signup and view all the answers

    Which aspect of blood does NOT relate to the learning outcomes of this session?

    <p>Transport mechanisms of oxygen</p> Signup and view all the answers

    Which learning outcome is covered in the practical workshop later in the week?

    <p>Understanding blood groups</p> Signup and view all the answers

    What is added to a glycoprotein to produce the A antigen?

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

    Which blood group does not modify the glycoprotein?

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

    What is the probability of a person in Australia having O+ blood type?

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

    What type of antibodies does an Rh- individual produce after exposure to Rh+ blood?

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

    What type of injection is typically used for administering anti-D immunoglobulin?

    <p>Deep intramuscular injection</p> Signup and view all the answers

    How is Haemolytic disease of the newborn primarily prevented in Rh- mothers?

    <p>Administration of Anti-D antibodies</p> Signup and view all the answers

    Which of the following can act as a sensitising event for producing anti-D antibodies?

    <p>Ectopic pregnancy</p> Signup and view all the answers

    Which option correctly describes the Rhesus factor?

    <p>An antigen on the surface of RBCs</p> Signup and view all the answers

    Who is not recommended to receive Rh(D) immunoglobulin?

    <p>Rh+ women</p> Signup and view all the answers

    What is the consequence for a Rh- person who receives blood from an Rh+ donor?

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

    In which situation should anti-D immunoglobulin be administered to an Rh- female?

    <p>Before or after specified invasive procedures</p> Signup and view all the answers

    Which blood type is least common in Australia?

    <p>AB-</p> Signup and view all the answers

    What is the potential consequence of sensitization in an Rh- woman?

    <p>Requirement for fetal transfusions</p> Signup and view all the answers

    What is a common procedure that can result in sensitization for an Rh- mother?

    <p>Fetoscopy</p> Signup and view all the answers

    Why is special care required for an Rh- woman who has developed anti-D antibodies?

    <p>To manage the risk of hemolytic disease in the newborn</p> Signup and view all the answers

    Which of the following statements about anti-D plasma sources in Australia is correct?

    <p>It relies on a small number of donors</p> Signup and view all the answers

    Study Notes

    Blood Overview

    • Blood is a fluid connective tissue with a complex composition
    • Blood comprises plasma (55%) and formed elements (45%)
      • Plasma is mostly water (over 90%) with proteins like albumin, globulins, and fibrinogen, along with electrolytes, nutrients, hormones, gases, and waste products.
      • Formed elements include red blood cells (erythrocytes), white blood cells (leukocytes), and platelets (thrombocytes).

    Blood Composition

    • Plasma: the liquid portion of blood.
      • 55% of total blood volume
      • Mostly comprised of water
      • Contains dissolved proteins, electrolytes, nutrients, hormones, gases, and waste products.
    • Formed elements: the cellular components of blood.
      • 45% of total blood volume is formed elements.
      • 99% of formed elements are red blood cells
      • <1% of formed elements are white blood cells and platelets.
    • Haematocrit: the percentage of blood volume occupied by red blood cells.
      • Normal values: males ~47% ± 5%; females ~42% ± 5%.

    Physical Characteristics of Blood

    • Viscosity (thickness): thicker than water, flows more slowly than water.
    • Temperature: 38°C
    • pH: around 7.4 (range 7.35-7.45)
    • Volume: approximately 5-6 liters in males and 4-5 liters in females
    • 8% of total body weight.

    Blood Functions

    • Transportation: carries oxygen, carbon dioxide, metabolic wastes, nutrients, heat, hormones, and medications.
    • Regulation: regulates pH (through buffers), body temperature, and the composition of intracellular fluid.
    • Protection: protects against disease (immunity) and inflammation (through components like white blood cells and platelets).

    Blood Cells

    • Red blood cells (erythrocytes):
      • Contain haemoglobin which gives blood its red color.
      • Biconcave disc shape increases surface area for oxygen absorption and transportation
      • No nucleus or organelles, thus don't divide.
      • Lifespan of 120 days
      • Responsible for transportation of oxygen and CO2
    • White blood cells (leukocytes):
      • Granulocytes (eosinophils, basophils, neutrophils) have granules in cytoplasm & are involved in immunity and inflammation.
      • Agranulocytes (lymphocytes, monocytes) lack granules & play important roles in immune responses.
    • Platelets (thrombocytes)
      • Help in blood clotting
      • Cell fragments, not complete cells.

    Blood Groups

    • ABO blood group system: based on the presence or absence of A and/or B antigens on red blood cells and corresponding antibodies in the plasma.
      • Blood types: A, B, AB, and O.
    • Rh factor: another blood group system. Presence or absence of Rh antigen.
      • Rh-positive or Rh-negative.

    Haematopoiesis

    • Process of blood cell production.
    • Occurs in bone marrow, liver, and spleen.
    • Stem cells called pluripotent hematopoietic stem cells are the origin of all blood cells.

    Blood Clotting (Haemostasis)

    • Three stages: 1) Vascular spasm, 2) Platelet plug formation, 3) Blood clotting (coagulation)
    • Clotting factors, calcium, and substances released by platelets are needed in cascade reactions.

    Blood Clotting Continued

    • Extrinsic pathway: activated by trauma to tissues outside blood vessels.
    • Intrinsic pathway: activated by trauma to the inside lining of blood vessels.

    Haemolytic Disease of the Newborn (HDN)

    • Incompatibility of Rh factors between a pregnant woman and her fetus.
    • Antibodies produced against Rh+ blood, leading to destruction of the baby's red blood cells.
    • Management involves preventing an initial sensitization of the mother and managing or treating the effects on the fetus if sensitization has occurred.

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    Introduction to Blood PDF

    Description

    This quiz covers the essential components of blood, including its composition of plasma and formed elements. Explore the differences between red and white blood cells, as well as the role of plasma in maintaining bodily functions. Test your knowledge on the haematocrit and its significance in blood volume.

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