5.Physiology of Blood

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    Dr.G.MoinuddinGhori,PhD

    Deptt.of Physiology,College of

    Medicine,King Saud Bin AbdulazizUniversity for Health Sciences,RIYADH

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    8% of Body weight,

    5-6 L in males & 4-5 L in females

    FUNCTIONS:--1)Respiratory function

    2)Nutritive function

    3)Excretory function4)Hormone transport

    5)Water & Electrolyte balance

    6)Prevent the body against bacteria & Blood loss

    7)Temp. regulation

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    PLASMA:-- 55

    58 %

    (Water 91.0%, Plasma proteins 7.0%, Mineral Salts 0.9% &2.1 % others as Glucose, Cholesterol ,Gases)

    Plasma proteins Albumin,Globulin,Fibrinogen &Prothrombin

    FORMED ELEMENTS (BLOOD CELLS):-- 42 - 45 %

    ( RBCs or Erythrocytes, WBCs or Leukocytes, Platelets orThrombocytes)

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    Embryo (Yolk sac) Few weeks

    Middle Trimester ( Liver,Spleen,Lymph nodes)

    Later part of Pregnancy( Bone marrow ofSkull,Vertibrae,Ribs, Sternum)

    After Birth (Skeleton & Girdles)

    Production Stimulated in (Anemia,Hypoxemia)

    Production Inhibited in (Supernormal level)

    Production Regulated by (Erythropoietin hormonefrom Kidney)

    RBC life span

    120 days

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    All WBCs originate from Hemocytoblasts

    The Myeloblasts develop into Eosinophils

    Monoblasts develop into Monocytes

    Lymphoblasts develop into Lymphocytes

    PLATELETS:-- Originate fromHemocytoblasts(Fragments of Megakaryocytes,Useful for stoppage of bleeding or blood clotting)

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    A series of reactions for stoppage of bleeding

    Three phases occur in rapid sequence:--1. Vascular spasmsimmediatevasoconstriction in

    response to injury,initiated by local pain receptors

    2. Platelet plug formation-- as a result of plateletaggregation

    3. Coagulation a set of reactionsin which blood istransformed from a liquid to gel (follows Intrinsic &

    Extrinsic pathways)Final 3 steps are:-Prothrombin activator is formed

    -Prothrombin is converted into Thrombin

    -Thrombin converts FIBRINOGEN into FIBRIN

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    Whole blood transfusion is required, when largequantity of blood is lost

    Before transfusion,matching of blood isessential to avoid reaction due to mis- match ofblood

    Human blood have 30 varities of naturallyoccuring RBC antigens

    Antigens of ABO & Rh blood groups cause strongreaction ,if not matched before transfusion

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    ABO Blood group consists of:--

    Two ANTIGENS (A & B) on surface of RBCs &

    Two ANTIBODIES (Anti-A & Anti-B) in the plasma

    Presence of Rh factor on RBCs surface is indicated asRh+

    TRANSFUSION REACTION occurs when mis-matchedblood is infused. Donors cells are attacked by the recipientanti bodies causing clumping of cells which results bloodflow block

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    Type AB blood group is called

    Universal recipient as it can receive

    blood from Type A blood group as

    well as Type B blood group

    Type O blood group is calledUniversal donor as it can give blood

    to both Type A and TypeB blood

    groups