G. Types of White Blood Cells

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1. White blood cells are also called leukocytes. G. Types of White Blood Cells 2. White blood cells function to protect against diseases. 3. Two hormones that stimulate white blood cell production are interleukins and CSFs. 4. Granulocytes have granules in their cytoplasm whereas agranulocytes lack cytoplasmic granules.

5. Examples of granulocytes are neutrophils, basophils, and eosinophils. G. Types of White Blood Cells 6. Neutrophil granules appear light purple in an acid/base stain. 7. Neutrophils have nuclei that are lobed. 8. Neutrophils phagocytize bacteria, fungi, and some viruses. 9. Neutrophils account for about 54%-62% of white blood cells in a blood sample.

10. Eosinophil granules stain red in an acid stain. G. Types of White Blood Cells 11. The nucleus of an eosinophil is usually bi-lobed. 12. Eosinophils moderate allergic reactions and defend against parasitic worm infestations. 13. Eosinophils make up 1%-3% of the total number of circulating white blood cells.

14. Basophil granules stain blue in a basic stain. G. Types of White Blood Cells 15. Basophils migrate to damaged tissues where they release histamine and heparin. 16. Histamine promotes inflammation. 17. Heparin functions to prevent blood clots.

18. Basophils usually account for less than 1% of leukocytes. 19. Examples of agranulocytes are monocytes and lymphocytes. G. Types of White Blood Cells 20. The largest of the white blood cells are monocytes. 21. The nuclei of monocytes are spherical, kidney shaped or oval. 22. Monocytes can leave the blood stream to become macrophages. 23. Monocytes usually make up 3%-9% of white blood cells in a blood sample.

24. A typical lymphocyte contains a large, spherical nucleus surrounded by a thin rim of cytoplasm. G. Types of White Blood Cells 25. The major types of lymphocytes are T cells and B cells. 26. T cells attack microorganisms, tumor cells, and transplanted cells. 27. B cells produce antibodies. 28. Lymphocytes account for about 25%-33% of the circulating white blood cells.

Components of blood

1. A white blood cell count is normally between 5,000-10,000 cells per mm 3 of blood. 2. Leukocytosis is an increased WBC count and is often caused by acute infections. I. White Blood Cell Counts 3. Leukopenia is a decreased WBC count and is often caused by influenza, mumps, measles, chicken pox, or AIDS. 4. A differential white blood cell count lists percentages of the types of leukocytes in a blood sample. 5. The number of neutrophils increases during bacterial infections, and eosinophils increase during parasitic worm infections.

1. Platelets are also called thrombocytes. 2. Platelets arise from cells called megakaryocytes. J. Blood Platelets 3. A normal platelet count is normally between 130,000-360,000 platelets per mm 3 of blood. 4. Platelets help repair damaged blood vessels by sticking to broken surfaces. 5. Platelets release serotonin that contracts smooth muscles in the vessels walls, reducing blood flow.

III. Blood Plasma A. Introduction 1. Plasma is the clear, straw-colored, liquid portion of the blood in which the cells and platelets are suspended. 2. About 92% of plasma is water. 3. Functions of plasma include transporting nutrients, gases, and vitamins; helping to regulate fluid and electrolyte balance; and maintaining a favorable ph.

1. The three main plasma protein groups are albumins, globulins, and fibrinogen. B. Plasma Proteins 2. Albumins are the smallest of the plasma proteins and are synthesized in the liver. 3. Albumins function to help maintain the colloid osmotic pressure of blood. 4. Colloid pressure is the osmotic pressure produced by plasma proteins.

5. Globulins can be divided into the following three groups: alpha, beta, and gamma globulins. B. Plasma Proteins 6. Alpha and beta globulins are synthesized in the liver and function to transport lipids and fat-soluble vitamins in the blood. 7. Gamma globulins are synthesized lymphatic tissues and function as constituents of antibodies. 8. Fibrinogen is synthesized in the liver and functions to promote blood clotting.

C. Gases and Nutrients 1. The most important blood gases are oxygen and carbon dioxide. 2. The plasma nutrients are amino acids, simple sugars, nucleotides, and lipids.

1. Types of nonprotein nitrogenous substances in plasma are urea, uric acid, creatinine, and creatine. D. Nonprotein Nitrogenous Substances 2. Urea is produced when proteins are metabolized. 3. Uric acid is produced when nucleic acids are metabolized. 4. Creatinine is produced from metabolism of creatine. 5. Creatine phosphate is a protein that stores phosphate molecules for the production of ATP. 6. About half of the NPN substances in blood are urea.

E. Plasma Electrolytes 1. Plasma electrolytes include sodium, potassium, calcium, magnesium, chloride, bicarbonate, phosphate, and sulfate. 2. Sodium and chloride ions are the most abundant plasma electrolytes.

IV. Hemostasis A. Introduction 1. Hemostasis refers to the stoppage of bleeding. 2. Three actions that may prevent blood loss are blood vessel spasm, platelet plug formation, and blood coagulation

B. Blood Vessel Spasm 1. Vasospasm is smooth muscle contraction in the wall of a blood vessel. 2. Following vasospasm, blood loss lessens and the ends of the severed vessel may close completely.

1. Platelets adhere to exposed ends of injured blood vessels. C. Platelet Plug Formation 2. A platelet plug is formed when platelets contact collagen. 3. The function of the platelet plug is to prevent blood loss.

D. Blood Coagulation 1. Introduction a. Coagulation causes the formation of a blood clot. b. The extrinsic clotting mechanism is triggered by chemicals from broken blood vessels or damaged tissues. c. The intrinsic clotting mechanism is triggered by the contact of blood with foreign surfaces in the absence of tissue damage. d. Clotting factors are chemicals that control blood clotting. e. Vitamin K is necessary for some clotting factors to function. f. Procoagulants promote blood clotting and anticoagulants inhibit blood clotting. g. Normally, anticoagulants prevail and the blood does not clot. h. The major event in blood clot formation is conversion of fibrinogen into fibrin.