Blood - Composition and Functions
Blood is a connective tissue composed of specialised cells suspended in plasma. An adult has approximately 5 litres of blood. Blood has three main functions:
- Transportation of nutrients, oxygen, hormones, and metabolic wastes
- Thermoregulation - distributing heat (produced mainly in muscles) throughout the body
- Immune defence - white blood cells fight infection and disease
Plasma (55% of blood volume)
- Water (92%): solvent and transport medium. High specific heat capacity - holds and distributes heat.
- Plasma proteins (6%): albumin (maintains blood volume/pressure), globulins (immune defence, transport), fibrinogen (blood clotting).
- Nutrients (1%): glucose, amino acids, lipids, mineral ions (Na⁺, K⁺, bicarbonate - regulate blood pH and pressure).
- Waste products (1%): CO₂ (to lungs), urea (to kidneys).
Blood Cells (45% of blood volume)
Blood cells are suspended in plasma (float, not dissolved). Produced in red bone marrow (flat bones like ribs/skull, ends of long bones).
- Red blood cells (RBCs): most abundant. Biconcave disc shape (increases surface area). No nucleus. Contain haemoglobin (iron-rich protein) that binds and transports O₂. Flexible shape allows them to push through narrow capillaries.
- White blood cells (WBCs): fight infection. Two main types:
- Monocytes: engulf foreign cells by phagocytosis
- Lymphocytes: produce antibodies (specific globulin proteins for targeted immune response)
- Platelets: cell fragments that clot the blood to prevent blood loss from injury.
Blood Groups
ABO system: based on antigens (molecules) on the surface of red blood cells.
- Type A: has A antigen
- Type B: has B antigen
- Type AB: has both - universal recipient
- Type O: has neither - universal donor
Rhesus factor: Rh+ (has Rhesus antigen) or Rh− (lacks it). Important during pregnancy (Rh− mother, Rh+ baby) and blood transfusions. O− is critical in emergency medicine.
Blood Flow - Closed Double Circulation
Humans have a closed circulatory system - blood stays within blood vessels at all times. Blood flows through two connected circuits (figure-of-8 pattern):
- Systemic circuit: oxygenated blood from left ventricle → aorta → arteries → capillaries (exchange in organs) → veins → vena cava → right atrium. Delivers O₂/nutrients, collects CO₂/waste.
- Pulmonary circuit: deoxygenated blood from right ventricle → pulmonary artery → lungs (gas exchange) → pulmonary vein → left atrium. Blood circulates through both circuits roughly once per minute.
The Heart - Structure
A muscular organ the size of a fist, located behind the breastbone, slightly left of centre. Made of cardiac muscle - does not tire, does not grow, under unconscious control.
4 chambers:
- Right atrium: receives deoxygenated blood from the body (via vena cava)
- Right ventricle: pumps blood to the lungs (via pulmonary artery)
- Left atrium: receives oxygenated blood from lungs (via pulmonary vein)
- Left ventricle: pumps blood to the body (via aorta) - thickest wall (highest pressure needed)
- Septum: muscular wall separating left and right sides
Valves prevent backflow: tricuspid (right AV), bicuspid/mitral (left AV), semi-lunar valves (in aorta and pulmonary artery).
Coronary arteries supply the heart muscle itself with oxygenated blood. Blockage of coronary arteries → heart attack.
The Cardiac Cycle
The repeating sequence of changes inside the heart during each heartbeat. Three stages:
- Diastole (relaxation): all chambers relax. Blood flows into atria from veins.
- Atrial systole: atria contract → push blood through AV valves into ventricles.
- Ventricular systole: ventricles contract → push blood out through semi-lunar valves into arteries (aorta and pulmonary artery). AV valves close (prevents backflow).
Pacemaker: the sinoatrial node (SA node/SAN) - a small patch of tissue in the right atrium - generates electrical impulses that initiate each heartbeat. It controls the rhythm of the cardiac cycle. The impulse spreads to the atrioventricular node (AV node) which relays it to the ventricles.
Pulse: the repeating expansion and contraction of artery walls caused by ventricular systole. Felt where arteries are close to the surface (e.g. wrist, neck).
Blood pressure: the force of blood pushing against artery walls. Measured as systolic/diastolic (e.g. 120/80 mmHg). Exercise, stress, diet all affect heart rate and blood pressure.
Blood Vessels
Blood flows: heart → artery → arteriole → capillary → venule → vein → heart.
| Feature | Artery | Vein | Capillary |
| Wall | Thick, muscular, elastic | Thinner, less muscle | One cell thick |
| Lumen | Small | Large | Very narrow (one RBC wide) |
| Valves | No (except semi-lunar) | Yes (prevent backflow) | No |
| Pressure | High (pulse) | Low (no pulse) | Very low |
| Direction | Away from heart | Towards heart | Connects arterioles to venules |
| Position | Deep under skin | Close to skin surface | Throughout tissues |
| Blood type | Mostly oxygenated | Mostly deoxygenated | Exchange zone |
| Movement | Pulse pushes blood | Muscle squeeze + valves | Diffusion of materials |
Capillary function: walls only one cell thick + vast network = enormous surface area → perfect conditions for diffusion of O₂, nutrients, CO₂ and waste between blood and body cells.
Thermoregulation by Blood Vessels
- Vasodilation: blood vessels near skin widen → warm blood flows to surface → heat radiates away → skin appears red.
- Vasoconstriction: blood vessels near skin narrow → less blood near surface → heat conserved → skin appears pale.
The Lymphatic System
When blood passes through capillaries, some plasma leaks out into spaces between cells, forming tissue fluid. The lymphatic system collects this excess fluid:
- Lymphatic vessels: collect excess tissue fluid (now called lymph) and return it to the circulatory system via the subclavian veins in the upper chest.
- Lymph nodes: bean-shaped swellings that filter lymph, trapping bacteria and viruses. Contain white blood cells. Swell when fighting infection.
- Spleen: filters blood, removes old/damaged red blood cells, stores white blood cells.
- Tonsils: trap pathogens entering via mouth/nose.
- Thymus: where T-lymphocytes mature.
Interactions with Other Body Systems
- Breathing system: gas exchange in lungs - CO₂ out, O₂ in via alveoli capillaries.
- Digestive system: absorbed nutrients enter blood through capillaries in small intestine.
- Urinary system: waste products (urea) filtered from blood at kidneys.
- Endocrine system: hormones transported via bloodstream to target organs.