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Shape of red blood cells

This photograph shows a few red blood cells.
Erythrocytes are biconcave discs with very shallow centers. This shape optimizes the ratio of surface area to volume, facilitating gas exchange. It also enables them to fold up as they move through narrow blood vessels.

Hemoglobin

Hemoglobin is a large molecule made up of proteins and iron. It consists of four folded chains of a protein called globin    , designated alpha 1 and 2, and beta 1 and 2 ( [link] a ). Each of these globin molecules is bound to a red pigment molecule called heme    , which contains an ion of iron (Fe 2+ ) ( [link] b ).

Hemoglobin

This figure shows the structure of hemoglobin. The left panel shows the protein structure and the right panel shows the chemical formula.
(a) A molecule of hemoglobin contains four globin proteins, each of which is bound to one molecule of the iron-containing pigment heme. (b) A single erythrocyte can contain 300 million hemoglobin molecules, and thus more than 1 billion oxygen molecules.

Each iron ion in the heme can bind to one oxygen molecule; therefore, each hemoglobin molecule can transport four oxygen molecules. An individual erythrocyte may contain about 300 million hemoglobin molecules, and therefore can bind to and transport up to 1.2 billion oxygen molecules (see [link] b ).

In the lungs, hemoglobin picks up oxygen, which binds to the iron ions, forming oxyhemoglobin    . The bright red, oxygenated hemoglobin travels to the body tissues, where it releases some of the oxygen molecules, becoming darker red deoxyhemoglobin    , sometimes referred to as reduced hemoglobin. Oxygen release depends on the need for oxygen in the surrounding tissues, so hemoglobin rarely if ever leaves all of its oxygen behind. In the capillaries, carbon dioxide enters the bloodstream. About 76 percent dissolves in the plasma, some of it remaining as dissolved CO 2 , and the remainder forming bicarbonate ion. About 23–24 percent of it binds to the amino acids in hemoglobin, forming a molecule known as carbaminohemoglobin    . From the capillaries, the hemoglobin carries carbon dioxide back to the lungs, where it releases it for exchange of oxygen.

Changes in the levels of RBCs can have significant effects on the body’s ability to effectively deliver oxygen to the tissues. Ineffective hematopoiesis results in insufficient numbers of RBCs and results in one of several forms of anemia. An overproduction of RBCs produces a condition called polycythemia. The primary drawback with polycythemia is not a failure to directly deliver enough oxygen to the tissues, but rather the increased viscosity of the blood, which makes it more difficult for the heart to circulate the blood.

In patients with insufficient hemoglobin, the tissues may not receive sufficient oxygen, resulting in another form of anemia. In determining oxygenation of tissues, the value of greatest interest in healthcare is the percent saturation; that is, the percentage of hemoglobin sites occupied by oxygen in a patient’s blood. Clinically this value is commonly referred to simply as “percent sat.”

Percent saturation is normally monitored using a device known as a pulse oximeter, which is applied to a thin part of the body, typically the tip of the patient’s finger. The device works by sending two different wavelengths of light (one red, the other infrared) through the finger and measuring the light with a photodetector as it exits. Hemoglobin absorbs light differentially depending upon its saturation with oxygen. The machine calibrates the amount of light received by the photodetector against the amount absorbed by the partially oxygenated hemoglobin and presents the data as percent saturation. Normal pulse oximeter readings range from 95–100 percent. Lower percentages reflect hypoxemia    , or low blood oxygen. The term hypoxia is more generic and simply refers to low oxygen levels. Oxygen levels are also directly monitored from free oxygen in the plasma typically following an arterial stick. When this method is applied, the amount of oxygen present is expressed in terms of partial pressure of oxygen or simply pO 2 and is typically recorded in units of millimeters of mercury, mm Hg.

Questions & Answers

what happen to ECF and ICF regarding to OEDEMA
Zwanga Reply
what are the smooth muscles of the heart
Sintung Reply
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saba Reply
kidney weight on males?
saba
3 to4 onz and 140 gram kidney wight.adult
StudyTime
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Samim
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saba
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saba
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O-olfactory O-optic O-occumulator T-trochlear T-trigemenal A-abducent F-facial A-auditory G-glossopharyngeal V-vagus A-acessory
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mayank
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Sintung
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Sintung
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Philip
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Sintung
CT means - computerized tomography
Vivek
connective tissue
Dee
how hemolytic anemia cause due to gas gangrene?
Huma Reply
why retro abdominal region called or named "flank "?
Huma Reply
list types epithelial tissue
Sangu Reply
Squeamus epithelial tissu Cubidal Columna Cilliated columna
Aliyu
squamous cuboidal columnar ciliated stratified
Ken
psuedostratified ciliated columnar stratified squamous transitional epithelium
Espinoza
peace maker of heart is?
shahid
electrical conduction ... sa node
Dee
squamous epithelial tissue.
Tariq
squamous, stratified epithelial tissue
Sintung
explain how hormonal control aids in homeostasis regarding fluids and electrolytes, internal organs, clinical application, edema electrolyte imbalance?
Hensheal Reply
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Hensheal
parathyroid hormone : Calcium uptake, H+ and PO-4 wasting thyroid hormone, cortisol for temperature regulation by acting on B.V
Kartik
also renin
Kartik
thanks
Hensheal
why retro abdominal region called flank?
Huma
it is just Anatomical terminology
Kartik
meaning side of body b/w rib cage and hip bone
Kartik
list down all the hormones secreted by adrenal gland
Odong Reply
adrenaline hormones
Sangu
adrenaline and noradrenaline
Sintung
The amount of blood pumped by the left ventricle of the heart in one contraction.
Javid Reply
how we can calculate the cardiac output
khater
and how do we calculate the strock valume
khater
stroke volume is not all the blood contained in the left ventricle; normally, only about two-thirds of the blood in the ventricle is expelled with each beat.
Javid
Cardiac output 5.5 l S. V 68.75 ml H. R 80bpm
Javid
If we consider SV 70, end systolic vol is about 15% of total(approx always) out of a total of 80-85 ml only 70ml is pumped per systole
Kartik
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Sajjad Reply
macrophages they are white blood cells that engulf dead cells in the body
patience
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muravha
no idea
patience
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up
the amount of blood that enters the heart
Sintung
wrong^^ stroke volume is the amount of blood ejected from the left ventricle on a single contraction.
Jordan
If an autoimmune disorder targets the alpha cells, production of which hormone would be directly affected?
Samantha Reply
what is a muscle?
Gideon Reply
A band or bundle of fibrous tissue in a human or animal body that has the ability to contract, producing movement in or maintaining the position of parts of the body
Mody
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Gideon
what's endolphthamities and panophthalmities?
Gideon
fluid around the brain
louise Reply
what ?
Asif
cerebro spinal fluid
Bhupender
The brain and spinal cord are surrounded by a clear fluid called cerebrospinal fluid (CSF). This fluid is produced and stored in cavities in the brain called ventricles. It circulatesaround the brain, moving from ventricle to ventricle. ... Hydrocephalus is a condition in which there is too much CSF
Archie
what is hydrocphalus
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Bhupender
when cerebrospinal fluid produce în the brain, i.e. brain ventricles, is to abundent in the brain and is not trăind out of the brain. as a consequence this lichid pute mechanical pressure oñ the brain and it pushes the cerebrum tissue. as a consequence this pressure on the neuronscan cause neurologi
Centerkinet
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. It is posible to drainout the fluid through a device dalles shunt,as i remember.
Centerkinet
but where are also home medicinsfor decreasing the production of cerebrospin.fluid etc
Centerkinet
there are some medicines that can decrease the production of csf
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a neurologist advice is needed
Centerkinet
i wrote some medicines NOT home medicines. it is a serious condition and specialized medical advice is needed. of course also general medical knowledge may be helpful, but not enough, a specialist is neede
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ross and wilson anotomy and physiology
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Christon
Fascial compartment of forearm
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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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