Consultant Lecturer Doctor Blood Physiology • Blood is the body's only fluid connective tissue , opaque ,red in color ,leaves the heart via arteries that branch repeatedly until they become capillaries. • Oxygen (O2) and nutrients diffuse across capillary walls and enter tissues. • Carbon dioxide (CO2) and wastes move from tissues into the blood. • Oxygen-deficient blood leaves the capillaries and flows in veins to the heart. • This blood flows to the lungs where it releases CO2 and picks up O2. • The oxygen-rich blood returns to the heart. • Composition of Blood It is composed of • liquid plasma • formed elements include: 1. Erythrocytes, or red blood cells (RBCs) 2. Leukocytes, or white blood cells (WBCs) 3. Platelets Physical Characteristics and Volume - Blood is a sticky, opaque fluid with a metallic taste. - Color varies from scarlet (oxygen-rich) to dark red (oxygen-poor). - Much more dense than pure water. - The pH of blood is 7.35–7.45. - Temperature is 38°C(100.4 F), slightly higher than “normal” body temperature. - Blood accounts for approximately 8% of body weight. Average volume of blood is 5–6 L for males, and - • L for females 5–4 • Functions of Blood Blood performs a number of functions dealing with: 1.Distribution or transport : Blood transports: • Oxygen from lungs and nutrients from digestive tract to the cells. • Metabolic wastes from cells to the lungs(CO2) and kidneys (nitrogenous) for elimination. • Hormones from endocrine glands to target organs. 2.Regulation : Blood maintains: 1• Appropriate body temperature by absorbing and distributing heat. 2• Normal pH in body tissues using buffer systems ,the bicarbonate atoms helps in maintaining a PH around 7.4 which is required for normal cell functions. 3• Adequate fluid volume in the circulatory system. 3.Protection 1- Blood prevents blood loss by: • Activating plasma proteins and platelets. • Initiating clot formation when a vessel is broken. 2- Blood prevents infection by: • Synthesizing and utilizing antibodies. • Activating complement proteins. • Activating WBCs to defend the body against foreign invaders. Blood Plasma • Plasma is the liquid fraction of whole blood .it is a part of extracellular fluid of the body . • It is complex non cellular fluid surrounding formed elements ,proteins and electrolytes. Blood plasma makes up to 55% of• • normal blood volume ,water constitutes , 90% of plasma volume plasma contains over 100 solutes, including: • Proteins – albumin, globulins, fibrinogen . The average normal concentrations are : 4.5 g/dl ,2.5g/dl,0.3g/dl ,respectively . • Nonprotein nitrogenous substances – lactic acid, urea, creatinine. • Organic nutrients – glucose, carbohydrates, amino acids. • Electrolytes – sodium , potassium, calcium, chloride, bicarbonate, phosphate, sulfate and others. .Respiratory gases – oxygen and carbon dioxide • • Functions of plasma • : 1-Transport of hormones , vitamins , minerals , and drugs . Examples: albumin is a universal transporter , while other plasma proteins are specific for transport of some substances like transferrin ( transport of iron) , transcobalamine (transport of Vit. B12 ) , Apolipoprotein B ( transport of lipoproteins) . 2- Control of capillary permeability. 3- Contribution to acid-base- balance : Plasma proteins contribute to about 15% of the buffering capacity of blood. 4- Contribution to regulation of arterial blood pressure , as follows: * Plasma proteins contribute to blood viscosity , which is important in production of peripheral resistance . * Plasma proteins exert oncotic pressure , which tends to pull water into the blood ( at capillary level) , which maintains the blood volume. 5- Blood coagulation : Most of clotting factors are plasma proteins. 6- Immune functions(circulating antibodies) . 7- Contribution to gas transport : Plasma proteins participate in CO2 transport in blood. Serum preparation Collect whole blood in covered test tube, If commercially available tubes are to be used, the researcher should use the red topped tube. After collection of the whole blood, allow the blood to clot by leaving it undisturbed at room temperature. This usually takes 15–30 minutes. Remove the clot by centrifuging at 1,000–2,000 x g for 10 minutes in a refrigerated centrifuge. The resulting supernatant is designated serum. Following centrifugation, it is important to immediately transfer the liquid component (serum) into a clean polypropylene tube using a Pasteur pipette. Samples should be maintained at 2–8°C while handling. If the serum is not analyzed immediately, it should be apportioned into 0.5 ml , stored, and transported at – 20°C or lower. It is important to avoid freeze-thaw cycles because this is detrimental to many serum components. Samples which are hemolysed, icteric or lipemic can invalidate certain tests. Plasma preparation
Collect whole blood into commercially available
anticoagulant-treated tubes e.g., EDTA-treated (lavender tops) or citrate-treated (light blue tops). Heparinized tubes (green tops) are indicated for some applications; however, heparin can often be contaminated with endotoxin, which can stimulate white blood cells to release cytokines. Cells are removed from plasma by centrifugation for • 10 minutes at 1,000–2,000 x g using a refrigerated centrifuge. Centrifugation for 15 minutes at 2,000 x g .depletes platelets in the plasma sample • The resulting supernatant is designated plasma. Following centrifugation, it is important to immediately transfer the liquid component (plasma) into a clean polypropylene tube using a Pasteur pipette. • The samples should be maintained at 2–8°C while handling. If the plasma is not analyzed immediately, the plasma should be apportioned into 0.5 ml, stored, and transported at –20°C or lower. • It is important to avoid freeze-thaw cycles. • the samples which are hemolysed, icteric, or lipemic can invalidate certain tests. Thank you •