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Questions and Answers

What is the main role of hemoglobin in blood?

  • Binding to oxygen and carbon dioxide for transport (correct)
  • Stimulating the production of platelets
  • Maintaining osmotic balance in the blood
  • Producing antibodies against infections
  • Which of the following components constitutes the largest portion of blood volume?

  • Red blood cells
  • White blood cells
  • Plasma (correct)
  • Platelets
  • What is the primary function of platelets in the blood?

  • Regulating body temperature
  • Defending against infections
  • Preventing excessive blood loss by clotting (correct)
  • Transporting oxygen
  • How are red blood cells controlled in their production?

    <p>By erythropoietin hormone secreted by the kidneys</p> Signup and view all the answers

    What role do albumins play in blood plasma?

    <p>Maintaining osmotic balance between blood and extracellular fluid</p> Signup and view all the answers

    What happens to old red blood cells after their life span ends?

    <p>They are broken down in the liver and spleen for recycling</p> Signup and view all the answers

    What is a key role of plasma proteins like fibrinogen?

    <p>Contributing to blood clotting by forming a fibrin network</p> Signup and view all the answers

    Which component of blood is primarily responsible for the body's defense against infections?

    <p>White blood cells</p> Signup and view all the answers

    What occurs when there is a match between a donor's antigens and a recipient's antibodies?

    <p>Agglutination occurs.</p> Signup and view all the answers

    What is the potential consequence for Rh negative women pregnant with a second Rh positive baby?

    <p>Destruction of the baby's blood.</p> Signup and view all the answers

    How does carbon monoxide affect oxygen transport in the body?

    <p>It competes with oxygen for binding sites on hemoglobin.</p> Signup and view all the answers

    Which type of anemia is characterized by low iron levels leading to insufficient heme formation?

    <p>Iron deficiency anemia.</p> Signup and view all the answers

    What is a major risk associated with leukemia?

    <p>Disruption of normal white blood cell function.</p> Signup and view all the answers

    What treatment can Rh negative women receive to prevent an immune response during their pregnancy?

    <p>Administration of RhoGam.</p> Signup and view all the answers

    What condition results from extreme blood loss, such as from injuries or malaria?

    <p>Hemorrhagic anemia.</p> Signup and view all the answers

    What key function is hindered by carbon monoxide exposure in a closed environment?

    <p>Oxygen transport.</p> Signup and view all the answers

    What is the primary role of hemoglobin in red blood cells?

    <p>To carry oxygen molecules</p> Signup and view all the answers

    What happens to hemoglobin's oxygen binding in active tissues compared to the lungs?

    <p>It releases oxygen due to lower pH</p> Signup and view all the answers

    Which of the following is the correct order of stages in stopping blood loss?

    <p>Vascular spasm, platelet plug formation, coagulation</p> Signup and view all the answers

    How can you help stop severe bleeding in an injured person?

    <p>Raise the injured limb above the heart</p> Signup and view all the answers

    What causes agglutination in the bloodstream when the wrong blood type is transfused?

    <p>Antibodies binding to foreign antigens</p> Signup and view all the answers

    What is the function of the Rh antigen in blood typing?

    <p>It determines whether the blood is Rh positive or negative</p> Signup and view all the answers

    What occurs when Rh negative individuals are transfused with Rh positive blood?

    <p>They produce antibodies that may cause agglutination in future transfusions</p> Signup and view all the answers

    Which substance serves as a precursor to form fibrin during the coagulation process?

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

    Study Notes

    Blood Functions

    • Blood transports various substances throughout the body.
    • Blood maintains homeostasis, regulating body temperature (heat transported to skin's surface when hot) and pH of bodily fluids (using buffers like ion buffers and hemoglobin).
    • Blood defends against infection through various white blood cells and antibodies.
    • Clotting, through platelets and fibrinogen proteins, prevents excessive blood loss.

    Blood Components

    Cellular Portion (45% of volume)

    • Red blood cells transport oxygen and some carbon dioxide.
    • White blood cells defend against viral, bacterial, protist, and animal invaders, as well as virus-infected and cancerous cells.
    • Platelets are crucial for blood clotting.
    • Stem cells in red bone marrow are the source of all blood components.

    Plasma (55% of volume)

    • Water is the primary component (90%), acting as a biological solvent.
    • Ions act as pH buffers maintaining cell function and volume, vital for excitable cells like muscles and nerves.
    • Hormones, released by endocrine glands, are transported in the blood.
    • Gases, including oxygen (small amount) and carbon dioxide (most), are dissolved in the plasma.
    • Nutrients, such as amino acids, glucose, and lipids (often bound to globulin transport proteins), are carried in the plasma.
    • Wastes, including ammonia, urea, and uric acid, are removed from the blood by the kidneys.

    Plasma Proteins

    • Albumins, produced by the liver, maintain osmotic balance between blood and extracellular fluid, thus maintaining blood volume.
    • Antibodies, produced by white blood cells, bind to foreign substances (bacteria and viruses).
    • Fibrinogen, produced by the liver, converts to fibrin, forming a network essential for blood clotting.

    Red Blood Cells

    • Red blood cells are disc-shaped, lack a nucleus and organelles, offering flexibility.
    • Their lifespan averages 120 days.
    • Old cells are broken down in the liver and spleen, recycling iron to the red bone marrow and using amino acids.
    • The heme groups in red blood cells become part of bile.
    • Erythropoietin hormone controls red blood cell production.

    Blood Oxygen Carrying Capacity Homeostasis

    • Oxygen levels are monitored by kidney cells.
    • A decrease in oxygen triggers erythropoietin secretion by the kidneys.
    • Erythropoietin stimulates red blood cell production in red bone marrow.
    • Increased oxygen levels reduce erythropoietin secretion.

    Hemoglobin

    • Each red blood cell contains 300 million hemoglobin molecules, carrying 1.2 billion oxygen molecules.
    • Hemoglobin comprises four polypeptide chains (alpha and beta), each with a heme group containing iron (Fe), which binds oxygen.
    • Each hemoglobin molecule can bind four oxygen molecules.

    Hemoglobin and Oxygen Binding

    • Hemoglobin binds oxygen in the lungs where pH is high, blood oxygen concentration is high and temperature is low.
    • Hemoglobin releases oxygen in active tissues (like exercising muscles) where pH is low, blood oxygen concentration is low and temperature is high.
    • Carbon dioxide reacts with water to form carbonic acid, which dissociates into hydrogen ions and bicarbonate ions.

    Stopping Blood Loss

    • Stages:
      • Vascular spasm: smooth muscles constrict blood vessels to stop or reduce blood flow.
      • Platelet plug formation: Damaged blood vessel collagen triggers platelets to aggregate, become sticky and clump together to seal the breach. Platelets contract, bringing the wound edges closer.
      • Coagulation: Soluble fibrinogen is converted into insoluble fibrin, forming a clot that traps red blood cells and platelets.

    First Aid for Bleeding

    • Apply constant direct pressure to the wound.
    • Elevate the injured limb above the heart.
    • Apply pressure to the artery supplying the injured limb to reduce blood flow.

    Blood Types and Antibodies

    • Antigens: proteins/glycoproteins on cell membranes.
    • B lymphocytes produce antibodies.
    • Antibodies bind to foreign antigens.
    • Incompatible blood types cause agglutination (clumping) of red blood cells.
    • Agglutination can block small blood vessels damaging organs and potentially leading to death.

    Rh Factor

    • Rh antigen: present (positive) or absent (negative).
    • Rh negative individuals can receive Rh positive blood once without issue, but subsequent exposure triggers antibody production causing agglutination.
    • A-like and B-like antigens occur naturally, triggering antibodies already present.
    • Rh-like antigens require prior exposure to trigger antibody production.

    Blood Type Compatibility, Steps

    • Identifying recipient's antigens
    • Determining the recipient's antibodies
    • Evaluating if donor antigens and recipient antibodies match; matching prevents agglutination (clumping).

    Rh Factor and Pregnancy

    • Rh-negative mothers carrying Rh-positive babies for the first time form antibodies.
    • Second pregnancies with Rh-positive babies may lead to hemolytic disease of the newborn (HDN) where fetal red blood cells are destroyed causing anemia, jaundice and possible death.
    • RhoGAM, administered to Rh-negative mothers before and after pregnancy, can prevent HDN by destroying fetal blood cells preventing the formation of antibodies in the mother.

    Blood Disorders: Carbon Monoxide Poisoning

    • Carbon Monoxide competes with oxygen for hemoglobin binding sites.
    • CO binds with hemoglobin firmly and for a long time, preventing oxygen from binding.
    • CO poisoning occurs due to exposure to CO from sources such as burning fuel, wood, charcoal or tobacco , in closed spaces. This results in reduced oxygen transport leading to potentially fatal consequences.

    Blood Disorders: Anemia

    • Reduced oxygen carrying capacity leads to weakness and fatigue.
    • Iron deficiency anemia is due to insufficient iron preventing the formation of heme groups in hemoglobin.
    • Aplastic anemia results from bone marrow failing to produce enough red blood cells.
    • Hemorrhagic anemia occurs from substantial blood loss due to injuries, or diseases like malaria.
    • Sickle cell anemia involves abnormal red blood cell shape leading to early destruction by the body.
    • Thalassemia occurs due to inadequate alpha or beta protein chains preventing the formation of functional hemoglobins, causing reduced oxygen-carrying capacity.

    Blood Disorders: Leukemia

    • Cancer of white blood cells causing uncontrolled division.
    • Abnormal white blood cells crowd normal cells interfering with organ function.
    • Aplastic anemia and defective clotting may result from leukemia.
    • Internal bleeding and infection are possible complications of leukemia.

    Blood Disorders: Hemophilia

    • Hemophilia leads to uncontrolled bleeding.
    • Possibly due to insufficient platelets, liver disease preventing the production of clotting proteins, vitamin K deficiency, or inherited defective clotting proteins.

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