Leucocytes develop into differentiated cells that perform functions within the bodys defence mechanism. They are fewer in number than Erythrocytes, (approximately 1:7000). Leucocytes are split into two groups, Granulocytes, (Neutrophils, Eosinophil's and Basophils), so called due to the granular appearance of the cytoplasm and are formed from Myoblasts. The second group is Agranulocytes (Lymphocytes (T and B), and monocytes). Monocytes, Neutrophil's and Eosinophil's are phagocytic. They engulf bacteria and destroy this from within the cell. Basophils produce antihistamines, heparin and serotonin. The heparin prevents the unnecessary clotting of blood and the Serotonin helps to make the capillaries porous to allow Phagocyte's to exit the blood and enter infectious areas where bacteria are located. The lifespan of white blood cells (Leucocytes) is dependent on the bodies needs due to their unique role in defending the body.
Erythrocytes are red blood cells. They are a biconcave disc shaped often described as "doughnut" shaped. They are approximately 7Âµm in diameter and 2 Âµm thick. During Erythropoiesis a reticulocyte is formed from the stem cell in the marrow. These Reticulocytes have a nucleus which upon maturity to a fully formed Erythrocyte, the nucleus is expelled to allow for more haemoglobin and oxygen to be carried during the cell lifespan. Haemoglobin is the clotting function of blood and is the reason for the red colour. The disc shape is to give the cell more surface area to allow diffusion of the oxygen into the cells more quickly. Although the erythrocyte is larger than some capillaries, the cell is able to distort and enter the narrow passages returning to its original shape afterwards. Erythrocyte cells main function is to transport oxygen through body but they also release carbonic anhydrase that allows H2O in the blood to carry CO2 back to the lungs for expulsion. They also play a part in controlling the bodies Ph balance and homeostasis.
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When the compound Haem and Globin synthesise it forms haemoglobin. Haemoglobin allows Oxygen and Carbon dioxide to be transported by the Erythrocytes. Oxyhaemoglobin is haemoglobin saturated with oxygen molecules that have attached to the Haem molecule attracted by the Iron (Fe) in the compound, allowing the oxygen to be carried around the blood to be diffused where required.
De-saturated haemoglobin (DeoxyHaemoglobin) occurs when the oxygen molecules have left the protein and this is what gives the Haemoglobin its bluish tint. CO2 also bonds with the Haemoglobin molecule allowing the blood returning to the lungs to transport this for expulsion through exhaling.
You are working for the Red Cross and explaining to "new recruits" what platelets are and their function. Briefly explain how platelets ensure clotting takes place.
Platelets are small fragments megakaryocyte Cells. These cells are found in the bone marrow. These small platelets are essential in the function of Haemostasis which is the function of stopping blood loss, (Blood clotting). They secrete vasoconstrictors such as prostaglandins, thromboxane A2, leukotriene D4, angiotensin II, vasopressin, neuropeptide Y, endothelin. These vasoconstrictors cause the opening and closing of the openings of blood vessels during vascular spasm, form platelet plugs to stem the flow of blood, secrete clotting factors (proteins), to assist in the clotting of blood. These functions are the important factors of haemostasis which platelets are vital for during bleeding and the catalysts for vascular spasms, platelet plug creation and blood clotting (coagulation).
Haemostasis is the body's reaction to stop the loss of blood exiting the body from damaged blood vessels. There are three main steps to haemostasis, vascular spasm, Platelet Plug and coagulation:
When a broken blood vessel occurs, the first reaction in Haemostasis to stem the flow of blood is a vascular spasm. Pain receptors stimulate platelets to secrete vasoconstrictor "Serotonin" which cause the blood vessels to constrict reducing the blood flow this allows for time for the next stage of the haemostasis process.
Platelets in their normal state flow freely in the blood plasma as the lining of the blood vessel is smooth and coated with a platelet repellent prostacyclin. When the blood vessel is damaged, or broken, platelets are exposed to collagen fibres that are present in the walls of the arterioles, platelets become tacky and start sticking together and react with proteins in the blood plasma to form a temporary "plug" until a more permanent fix occurs in the form of coagulation.
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Thromboplastin protein reacts with vitamin K and Ca2+ Ions. The Thromboplastin then activates with the inactive prothrombin protein. The protein fibrinogen that is normally inactive becomes fibrin which is a fibrous compound. The fibrin starts to form a "net" across the damages vessel and platelets become trapped in the net to form permanent "glue" fixing the damages vessel to prevent blood loss and bacteria from entering the wound.
Your "new recruits" now require an explanation of the above. Present this to them in a clear brief manner. Group compatibility may be best shown by use of a table. Ensure that your explanation is written in your own words and give an example of the consequences of group incompatibility.
Blood groups were first identified in 1900 by Karl Landsteiner at the University of Vienna to ascertain why deaths occurred after blood transfusions. The blood groups most widely known are A, B, AB and O.
There are two antigens that are instrumental in determining blood groups. An antigen is a substance that an antibody fixes to, one type of antigen attaches to one type of antibody similar to a lock and key), these two antigens and antibodies identify the A, B and O blood groups. The antibodies are called Anti A and Anti B.
These antigens form on the surface of the red blood cells. A type blood cells will have the A blood antigen attached, and the body would not produce A blood antibodies. The reason for this is that if A blood antibodies were present, then these would attach and destroy the blood cells. However, should type B blood be inserted, B type antibodies are present. These antibodies would then attach to the antigens of the B blood and destroy the cell. The blood cells start to clump together that can cause a blockage in the blood vessel. This is called "agglutination".
O type blood do not produce any antigens for type A, B or O which makes this group universally accepted by any blood group therefor it is known as the "Universal Donor". AB Blood types have both Anti A and Anti B antibodies and therefore can receive blood from all groups safely. AB blood groups are known the "universal receiver".
There are many other antigens on the red blood cell. The "Rhesus" antigen is another important factor. It was named rhesus after finding the antigen during research injecting Rhesus monkeys with rabbit's blood.
Not all blood has the antigen. Blood that does have the antigen is defined as RH+ and the Blood that does not is defined as RH-. There is rhesus negative (RH-) and rhesus positive (RH+). RH- does not already contain the RH antibodies and should RH+ blood come into contact with RH- blood, RH- then starts to produce the anti RH antibodies. This does not cause too much of a problem in the first instance as the process of producing the antibodies takes almost a week and the donated blood cells would have died. The major problem occurs should the RH- receives a further dose of RH+ blood as this causes the reaction much quicker due to the presence of the RH antibodies. This causes "Agglutination" and can be fatal. This is especially serious in pregnancy. Should a mother that is RH- has a foetus that is RH+. The mother receives the RH+ blood from the foetus and then starts to produce RH antibodies. These antibodies are then transferred back to the foetus via the placenta and into the foetus's circulation. In the first child, this is not generally a problem as the antibodies will not have been produced in sufficient numbers to do any damage. The huge issue is any subsequent pregnancy. If a following foetus is RH+ the RH- antibodies from the mother will transfer across to the unborn foetus causing a mass destruction of blood cells. This condition is known as "Haemolytic disease of the new born".
Aortic Arch (Aorta) - This is the Curved part of the Aorta that joins the ascending and descending parts of the Aorta. Off the Aortic arch also branches the Left common carotid artery in the centre, left subclavian artery on the left and on the right, the Brachiocephalic artery. The Aortic arch joins these arteries to the oxygenated blood supply from the heart.
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Superior Vena Cava - This vein is one of the main supplies of deoxygenated blood returning to the heart via the right Atrium (5) which is then passed through the tricuspid valve into the right ventricle to be sent to the lungs through the pulmonary artery. The deoxygenated blood will be carrying waste CO2 etc. from the upper body to be expelled through breathing). The other main supply is the inferior vena cava. (8)
Pulmonary Artery - This artery transports de-oxygenated blood back into the lungs to expel waste products such as CO2. The blood is then re-oxygenated and returned to the left atrium (11) via the pulmonary veins (4&10).
Right pulmonary vein - This vein carries oxygenated blood from the right lung to the left atrium (11).
Right Atrium - One of the four chambers in the heart. Receives de-oxygenated blood from the vena cava's (Inferior and superior), which is then transported via the tricuspid valve to the right Ventricle to be pumped back to the lungs via the pulmonary artery (9)
Tricuspid valve - The valve is attached by three papillary muscles giving it its "Tri" reference and the chordae tendineae (heart strings) this valve regulates the blood flow and prevents the blood flowing back into the right atrium.
Right ventricle - One of the four chambers in the heart bigger and thinner walls than that of the left ventricle as blood is pumped at low pressure.. The right ventricle receives the deoxygenated blood from the right atrium via the tricuspid valve. This blood is then pumped through the pulmonary artery to the lungs.
Inferior Vena Cava - This vein is one of the main supplies of deoxygenated blood returning to the heart via the right Atrium (5) which is then passed through the tricuspid valve into the right ventricle to be sent to the lungs through the pulmonary artery. The deoxygenated blood will be carrying waste CO2 etc. from the lower body to be expelled through breathing. The other main supply is the superior vena cava.
Left Pulmonary Artery - This artery transports deoxygenated blood from the right ventricle under low pressure via a semilunar valve back to the lungs.
Left pulmonary veins - This vein carries oxygenated blood from the left lung to the left atrium (11).
Left Atrium - One of the four chambers in the heart. Receives oxygenated blood from the pulmonary veins (right and left), which is then transported via the mitral valve to the left Ventricle to be pumped through the semilunar valve and on through the body via the aorta.
Mitral valve - This valve works under systolic pressure and controls the blood flow into the heart and prevents the blood flowing backwards.
Semilunar valve - These valves control the blood flow into the aorta and prevent the blood flowing backwards.
Left Ventricle - One of the four chambers of the heart that received oxygenated blood from the left atrium via the mitral valve. It is smaller and more conical in shape than that of the right ventricle and has thicker walls and muscle due to the high pressure that the oxygenated blood is pumped through the body.
Aorta (descending) - This is the artery that supplies the body with oxygenated blood. There are two parts to the descending aorta, thoracic and abdominal. Within the abdomen, the aorta divides into the iliac arteries which supply blood to the pelvis and on to the legs.
The heart is the most vital organ in the body. Its function is to "pump" blood through the circulatory system via arteries and veins. It has what is known as a "double circulatory" system. The first system pumps blood to and from the lungs to expel waste gasses (CO2) and other waste products and to collect the vital oxygen needed to sustain life, provision on nutrients that are essential for growth and repair.
The second system pumps blood to the whole body. Oxygenated blood is pumped into the left atrium via the Pulmonary veins from the lungs. The flow is controlled by the mitral valve as it is passed through to the left ventricle where the heart muscle contraction pushes the oxygenated blood with its thick walls at high pressure through the aorta and into the body. Deoxygenated blood is returned to the heart via the inferior and superior vena cava into the right atrium where it is passed through the tricuspid valve into the right ventricle. Here, at low pressure, it is pumped through the pulmonary artery back into the lungs to expel the waste and to collect oxygen to be pumped around the body again. This function takes place continuously and the heart pumps approximately 7200 litres per 24 hours (based on an average heart rate of 72 bpm).
The heart muscle (Myocardium) requires a blood supply to enable it to function correctly. This supply allows the heart to be provided with the oxygen required along with the extraction of waste products, (CO2 etc). Coronary Circulation is the supply of this blood to the myocardium. The oxygenated blood is provided by the coronary Arteries which can either be epicardial (run along the surface of the heart) or Subendocardial which are the arteries that run deep within the myocardium. Epicardial arteries are self regulating providing a constant level of supply to the heart muscle. They are very narrow and are prone to blockage which can cause serious heart damage such as angina or a heart attack due to the arteries being the only source of blood to the myocardium. Deoxygenated blood is removed by the cardiac veins.
Blood is pumped through the body by pressure via systemic circulation. Oxygenated blood travels through a network of arteries, Arterioles and capillaries and deoxygenated blood is returned back to the heart and lungs via capillaries, venules and veins. The movement of the blood is controlled by the skeletal muscles and muscles in the walls of the arteries and veins.
Blood in arteries flows under high pressure along smooth tubes whereas blood in veins travels under low pressure.
Arteries do not have valves to control the blood flow arteries have semilunar valves along its length that prevent the blood travelling back.
Arteries have thicker muscle layers than veins due to the higher pressure; this allows the blood to be moved by force.
Capillaries are one cell thick allowing for the exchange of oxygen to take place quickly.
Blood vessels constrict or dilate due to nerve signals which stimulate hormone release.
Flow in capillaries is controlled by pre-capillary sphincters that direct the flow of blood through the body.