Blood Plasma

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Included In This Lesson

Study Tools For Blood Plasma

Components of Blood (Image)
Whole Blood Composition (Picmonic)
Blood Components Cheatsheet (Cheatsheet)
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Outline

Overview

  1. Overall components of blood
    1. Plasma – fluid (55-57%)
      1. 92% water
    2. Formed elements (43-45%)
      1. White Blood cells (leukocytes)
      2. Red Blood cells (erythrocytes)
      3. Platelets (thrombocytes)

Nursing Points

General

    1. Functions
      1. Suspension of cells, substances in blood
      2. Transport medium for nutrients, chemicals
    2. Soluble components of plasma (dissolved in the water)
      1. Plasma Proteins
        1. Types
          1. Albumin
            1. Smallest
            2. Most common (60%)
          2. Globulins
            1. Alpha-1
            2. Alpha-2
            3. Beta
            4. Gamma (antibodies)
          3. Prothrombin & Fibrinogen
            1. Clotting
        2.  Functions
          1. Maintain osmotic balance (see Fluid Pressures lesson)
            1. Hydrostatic pressure
            2. Colloid Osmotic pressure (Oncotic pressure)
          2. pH regulation
            1. Proteins react with hydrogen ions
            2. Normal pH = 7.35-7.45
          3. Lipid transport
            1. Globulins attach to fat-soluble substances
            2. Alpha-1, Alpha-2, Beta
      2. Non-protein nitrogenous substances (NPN)
        1. Waste products (liver → blood → kidneys → out)
          1. Urea
          2. Uric acid
          3. Creatinine
      3. Organic nutrients
        1. Glucose
        2. Amino acids
        3. Lipids (fat-soluble substances, attached to globulins)
          1. Cholesterol
          2. Fatty acids
          3. Triglycerides
          4. Steroid hormones
          5. Vitamins A, D, E, & K
      4. Hormones and water soluble vitamins
        1. Dissolved in water in plasma for transport
      5. Electrolytes
        1. Cations (highest to lowest)
          1. Sodium
          2. Potassium
          3. Calcium
          4. Magnesium
        2. Anions (highest to lowest)
          1. Chloride
          2. Bicarbonate
          3. Phosphate
        3. Functions
          1. Assist in maintaining osmotic balance and pH
      6. Gases (highest to lowest)
        1. Nitrogen
        2. Oxygen
        3. Carbon Dioxide

 

 

 

 

 

 

 

 

 

 

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Transcript

In this lesson, we are going to take a look at blood plasma.

I like to think of blood as being this soup with all of these different components in it. Now plasma is like the broth which is the majority of the liquid part. So in blood plasma takes up about 55% of the total blood volume and is made up of about 92% water. Inside the plasma there are different types of formed elements which are things like red blood cells, white blood cells, and platelets. These formed elements take up 43 to 45% of the total blood volume.

Now there’s some really important functions of the plasma, and that’s that it is a suspension of cells and other substances in the blood which we’re going to talk about in a minute. The other thing is that it serves as a transport medium for different types of nutrients and other chemicals.
Also, in plasma there are a bunch of different components but the first thing we’re going to look at are the different types of proteins. There are several different types of plasma proteins with albumin being the most abundant which takes up about 60%. It’s also the smallest plasma protein.

There’s also another type of plasma protein called globulins. There are alpha 1, Alpha 2, beta, and gamma globulins. Some gamma globulins serve as antibodies and are the most significant. The big thing to know about the gamma globulins is that they are not water soluble, and since the majority of plasma is water, they don’t dissolve. So they function in transporting other components, which I’ll talk about in a minute.

There are other types of plasma proteins like prothrombin and fibrinogen which are clotting plasma proteins. These proteins are responsible for going to sites where there is bleeding, and they help to stop bleeding.

There are some really important functions of these plasma proteins. One of the most important functions of plasma protein is that they maintain the pressure balance within all fluids. They do this with oncotic and hydrostatic pressure, which are pulling and pushing pressures. There’s a great lesson on fluid pressures, and I encourage you to check that out. The other thing the plasma proteins do is that they help to regulate PH because the proteins react with hydrogen ions in the plasma. One final thing that they do is that they’re responsible for lipid transport. Globulins will attach two different types of fat soluble substances, like fat soluble vitamins, and it will help to transport them to where they need to go.

The plasma is also responsible for containing different types of non protein substances and organic nutrients.

Plasma contains something called non-protein nitrogenous substances, or npn. These are virtually waste products. So these are things like urea, uric acid, and creatinine, and these are transported as a result of the body filtering. So the liver will filter the blood, and the kidneys will the remaining plasma and kick it out of urine.

The other thing that the plasma holds are different types of organic nutrients. So these are things like glucose, amino acids, lipids, and different types of fat soluble vitamins and steroid hormones. The fat soluble vitamins are going to be vitamins a, d, e, and K. The globulins will also transport different types of fatty acids and triglycerides, and that’s because they’re not water soluble.

The other thing that happens in plasma is the transport of hormones that CAN be dissolved in water. Also, it’s important to know that water soluble vitamins are transported in plasma, so these are the B & C vitamins.

We also want to take a look at electrolytes and gases.

In the plasma. There are several different types of electrolytes that not only are present but play an important role. If you look at the positively charged ions or cations, sodium is the most abundant plasma followed by potassium, calcium, and then magnesium which is the least abundant. In terms of and ions, or negatively charged ions, chloride is the most abundant, followed by bicarbonate and phosphate feed the least of us. They focus in assisting in maintaining osmotic balance and also balancing out the pH of the plasma.

When it comes to gases inside the blood plasma, nitrogen is not only the most abundant, but makes up the majority of the gases in plasma. This is followed by oxygen and carbon dioxide.
Okay, so let’s recap.

Plasma takes up the majority of the blood component, accounting for about 55%.

Also it’s mostly water, with about 92% of the blood plasma consisting of water.

The plasma proteins in the blood plasma are responsible for maintaining osmotic balance and pressure. They do this through hydrostatic and oncotic pressure.

What type of also contains waste, so these are waste products like urea, uric acid and creatinine.

And finally blood plasma is a transport medium. That means that it’s going to transport all of the vitamins, nutrients, hormones, and it’s 3 series of mechanisms. It’s just really important that you understand that blood plasma doesn’t just contain cells, but it also contains all of these other important components.

And that’s it for our lesson on blood plasma. Make sure you check out all the resources attached to this lesson. Now, go out and do your best selves today, and as always, happy nursing.

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  • Cardiac Disorders
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Study Plan Lessons

The 5-Minute Assessment (Physical assessment)
General Assessment (Physical assessment)
Integumentary (Skin) Assessment
Neuro Assessment
Head/Neck Assessment
EENT Assessment
Heart (Cardiac) and Great Vessels Assessment
Thorax and Lungs Assessment
Abdomen (Abdominal) Assessment
Lymphatic Assessment
Peripheral Vascular Assessment
Musculoskeletal Assessment
Genitourinary (GU) Assessment
Communicating with Patients
SATA
Absolute Words
Nursing Process
What do you want me to know?
Duplicate Facts
Repeating Words
Denying Feelings
NCLEX® Question Traps
Opposites
Same
Priority
Acute vs Chronic
Hierarchy of O2 Delivery
Nutrition Assessments
Abuse
Therapeutic Communication
Nurse-Patient Relationship
Thinking Like a Nurse
Critical Thinking
Prioritization
Triage
Maslow’s Hierarchy of Needs in Nursing
Overview of the Nursing Process
Skin Structure & Function
Skeletal Anatomy
Bone Structure
Development of Bones
Joints
Muscle Anatomy (anatomy and physiology)
Muscle Cytology
Skeletal Muscle
Muscle Contraction
Muscle Physiology
Nervous System Anatomy
Membrane Potentials
Nerve Transmission
Autonomic Nervous System (ANS)
Spinal Cord
Cranial Nerves
Sensory Basics
Intro to Circulatory System
The Heart
Cardiac Cycle
Electrical Activity in the Heart
Cardiac (Heart) Physiology
Blood Vessels
Blood Pressure (BP) Control
Blood Plasma
Blood Grouping
Vessels & Fluid
Respiratory Structure & Function
Breathing Movements
Breathing Control
Respiratory Functions of Blood
Digestive System Anatomy
Mouth & Oropharynx
Esophagus
Stomach Video
Small Intestine
Large Intestine
Liver & Gallbladder
Urinary System Anatomy (Anatomy and Physiology)
Renal (Kidney) Structure & Function
Renin Angiotensin Aldosterone System (RAAS)
Formation & Excretion of Urine
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Acid-Base Balance
Pituitary Gland
Thyroid Gland
Adrenal Gland
Pancreas
Male Reproductive Anatomy (Anatomy and Physiology)
Female Reproductive Anatomy (Anatomy and Physiology)
Epithelial (Skin) Tissues
Types of Epithelial (Skin) Tissue
Glands
Connective Tissues
Membranes
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Isotonic Solutions (IV solutions)
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
Heart (Cardiac) Sound Locations and Auscultation
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Aortic Aneurysm
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
GERD (Gastroesophageal Reflux Disease)
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology of Glomerulonephritis
Pressure Ulcers/Pressure injuries (Braden scale)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Skin Cancer
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Breast Cancer
Diabetes Management
Nursing Care and Pathophysiology for Sepsis
Fluid Volume Deficit
Fluid Volume Overload
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology for Compartment Syndrome
Fractures
Casting & Splinting
Impulse Transmission
Cerebral Metabolism
Blood Brain Barrier (BBB)
Levels of Consciousness (LOC)
Routine Neuro Assessments
Adjunct Neuro Assessments
Brain Death v. Comatose
Intracranial Pressure ICP
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
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Miscellaneous Nerve Disorders
Tension and Cluster Headaches
Migraines
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Stroke Assessment (CVA)
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Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology of Pneumonia
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Coronavirus (COVID-19) Nursing Care and General Information
Artificial Airways
Airway Suctioning
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
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Lung Sounds
Alveoli & Atelectasis
Gas Exchange
Wound Care – Assessment
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Increase MAP Nursing Mnemonic (VAK)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Digestion & Absorption
Nutrition-related Diseases
CPR-BLS (Basic Life Support)
Advanced Cardiovascular Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Neonatal Resuscitation Program (NRP)
Prioritizing Assessments
Triage in the ER
Critical Incident Management
Aggressive & Violent Patients
Legal & Ethical Issues in ER
EMTALA & Transfers
Trauma Survey
Blunt Thoracic Trauma
Penetrating Thoracic Trauma
Blunt Abdominal Trauma
Penetrating Abdominal Trauma
Crush Injuries
Head Trauma & Traumatic Brain Injury
Massive Transfusion Protocol
Acute Coronary Syndrome (ACS)
Aneurysm & Dissection
Cardiopulmonary Arrest
Dysrhythmia Emergencies
Heart (Heart) Failure Exacerbation
Hypertensive Emergency
Arterial Pressure Monitoring
Rapid Sequence Intubation
Pulmonary Embolism
Acute Respiratory Distress
Ventilator Settings
Acute Confusion
Intracranial Hemorrhage
Increased Intracranial Pressure
Stroke (CVA) Management in the ER
Seizure Management in the ER
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)