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Table 2.1 Transport systems in plants and animals Transport medium (uid) Dissolved sugars (organic nutrients) Water and dissolved inorganic salts Blood
Vessels Plants Phloem Xylem Animals (mammals) Arteries, capillaries and veins
Driving mechanism Pressure ow Transpiration stream Pumping heart (and muscle contraction)
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removed from the body. In mammals, the transport system is known as the cardiovascular system, made up of
a pump (the heart) to move the blood in the correct direction and a series of vessels (see Fig. 2.20 on page 57).
2.1
plasma (percentage by weight) proteins 7% percentage body weight percentage by volume water 91% other fluids and tissues 92% centrifuge blood 8% formed elements 45% plasma 55%
albumins 58% globulins 38% fibrinogen 4% ions nutrients waste products gases regulatory substances platelets
other solutes 2% formed elements (number per cubic mm) platelets 250400 thousand white blood cells 59 thousand red blood cells 4.26.2 million
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Blood also carries nutrients required by the body, wastes to be excreted from the body, gases, and other chemicals such as control substances (hormones), infection-ghting chemicals (antibodies), clotting factors and many more.
Blood contains three main types of cells: red blood cells, white blood cells and platelets. All blood cells are produced in bone marrow.
Red blood cells (erythrocytes)
Haemoglobin is an iron-containing protein molecule that gives red blood cells their colour. It consists of two parts: a protein, globin, and a pigmental iron compound called the haem group. Iron is therefore essential for the formation and maturation of red blood cells. Haemoglobin has an afnity for oxygen and readily combines with it to from oxyhaemoglobin. Haemoglobin releases oxygen easily in areas of low oxygen concentration. Red blood cells are also able to transport a small amount of carbon dioxide in the blood and they help to maintain the pH balance of the blood.
White blood cells (leucocytes)
There are approximately 46 million red blood cells per millilitre (mL) of blood and their main function is to transport oxygen. Red blood cells form in bone marrow; at rst each cell has a nucleus, but as the cell matures, the nucleus disappears and a red pigment called haemoglobin develops inside the cell. As a result of the absence of a nucleus, the mature red blood cells are small, with a diameter of approximately 7 m (micrometres). (See Fig. 2.2.) Red blood cells are round, but they are biconcave rather than sphericalthat is, they are slightly attened towards the centre (similar to a Fruit Tingle lolly). The front cover of this textbook and Figure 2.3b show scanning electron micrographs of blood cells. Red blood cells have a lifespan of approximately 4 months and when they die they are broken down and replaced by newly formed blood cells from the bone marrow.
7.5 m
White blood cells, also produced in bone marrow, function as part of the immune system. Their main role is to protect the body against invading organisms. There are approximately 400011 000 white blood cells per mL of human blood (with higher levels often indicative of an infection. Leukaemia, a form of cancer of the white blood cells, also greatly elevates the white blood cell count). White blood cells are larger than red blood cells (about 50% bigger) and not as abundant. All white blood cells have a nucleus; in some white blood cells it may be an unusual shape (see Fig. 2.1 and 2.3b). In prepared microscope slides of blood, the staining technique imparts a purple colour to the nucleuslook out for this in the rsthand investigation that follows.
Platelets (thrombocytes)
2.0 m
top view
side view
Platelets are fragments of special cells, also produced in the bone marrow. They are disc-shaped, about half the size of red blood cells and there are about 400 000 per mL of blood. Platelets function in the clotting of bloodthey stick to each other and to blood bres at the site of a wound. This contact causes them to break open and they release an enzyme, thromboplastin,
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which sets in progress a sequence of steps to seal the blood vessels and cause blood to clot, preventing excessive blood loss.
Plasma
Plasma, the yellow, watery uid part of blood, consists of about 90% water and the other 10% consists mainly of proteins. Plasma makes up most of the volume of blood and it carries many substances in either dissolved or suspended form. It carries: plasma proteins: clotting factors, immunoglobulins (antibodies to ght infections) and albumen, as well as enzymes nutrients: the end products of digestionamino acids (from digested proteins), glucose (from digested carbohydrates),
(a)
glycerol and fatty acids (from digested lipids) and cholesterol gases: oxygen and carbon dioxide excretory waste products: nitrogenous wastes such as urea, uric acid and ammonia ions (mainly sodium chloride and calcium and magnesium phosphates) regulatory substances such as hormoneschemical messenger molecules involved in the co-ordination of body systems other substances such as vitamins. Blood serum is plasma without the clotting proteins (it still contains antibodies).
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Figure 2.3 (a) A standard blood smear showing blood cells under a light microscope; (b) a scanning electron micrograph of blood cells (red cells, white cells and platelets)
(b)
perform a rst-hand investigation using the light microscope and prepared slides to gather information to estimate the size of red and white blood cells and draw scaled diagrams of each
the late 1600s, even approximating their size: 25 000 times smaller than a ne grain of sand. To do this, he would have had to understand the magnifying power of the microscope and lenses that he was using. Many advances in microscopy have been
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Guided d investigation i ti ti estimating the size of red and white blood cells
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made since then and accurate measurements of the size of microscopic structures are now commonly made, but this involves the use of fairly sophisticated laboratory equipment to obtain precise measurements and to keep the margin of error to a minimum. All measurement is an approximation and involves using a measuring instrument, such as a ruler or scale, which is calibrated to compare the object to some standard (such as a millimetre). Measurement can therefore be thought of as a ratio. In this investigation, students are required to estimate the size of blood cells. It is possible to do this using simple equipment such as a light microscope and a plastic ruler, or by using a mini-grid slide (which has with smaller calibrations on it) in place of a ruler. The smaller or more precise calibrations give a more accurate estimate of the diameter eld of view.
the expected values in scientic literature (accuracy), since the latter has been measured with more advanced and precise equipment.
Aim
To estimate the size of red blood cells and white blood cells seen with a light microscope.
Materials
Light microscope. Prepared slides of human blood. Plastic ruler, or graph paper or a mini-grid slide. Pencil and drawing paper. Safety: Use commercially prepared microscope slides of blood and not fresh blood, to eliminate the risk of contracting blood-borne disease. Students should prepare a table to outline safety precautions when using a microscope.
Method
(see Guided Investigation on Student Resource CD) 1. Estimate the eld of view under low power. Place the mini-grid (or transparent ruler) on the microscope stage and view under the 10 objective. Use the grid/ruler to estimate the diameter of the eld of view in mm and m (1 mm = 1000 m) (see Fig. 2.4). 2. Calculate the eld of view under high power. Rotate the high power objective lens into place. Calculate the eld of view: low power = 100; high power = 400; high power eld of view = 100/400 3. Estimate the size (diameter) of a red blood cell. View a prepared slide of a blood smear under high power on the microscope. Distinguish between the numerous small red blood cells and the few, larger white blood cells. (See the Student Resource CD for further guidance.) 4. Estimate the size of a red blood cell by counting or estimating the approximate number of red blood cells that would t across the diameter of the eld of view (using 400 magnication). Using this
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Focus on large grid under 100. field of view diameter of field of view Place blood smear under low power then high power. Estimate number of blood cells across diameter. EXAMPLE ONLY (Do not use these figures in your practical)
1 mm
0.6 mm
Count: 55 red blood cells 400 m (diameter of field of view) 55 (number of red blood cells) = 7.3 m = estimated size of one red blood cell
grid lines on ruler or minigrid slide Mag. 100 (low power) Field = 160 m 2 Focus under 400cannot see grid, therefore need to calculate. Figure 2.5 Estimating the size of a red blood cell
Mag. 400 (high power) 160 m Field = = 400 m diameter 4 Figure 2.4 The sequence of steps to estimate the size of the eld of view
number and the known diameter for the eld of view, calculate the size of each blood cell. (See Fig. 2.5.) 5. Assess accuracy and reliability. Repeat this process three times, using different areas of the blood smear for each estimate (reliability) and nd an average size for red blood cells. Compare your estimate with the actual size (see above) to assess reliability.
6. Estimate the size of white blood cells. Since there are so few white blood cells, it is not possible to count the number of white cells across the diameter and much more difcult to estimate how many would t across the diameter. Another method of estimating their size is to compare their proportions with that of red blood cells. Use this estimate to then calculate their size. Repeat the process with three different white blood cells and obtain an average. 7. Draw a scale diagram of each type of blood cell as follows: (a) Draw a line of a particular length (e.g. 1 cm or 2 cm). This will be your scale bar that represents 10 m. (b) Using this scale, draw a red blood cell and white blood cell, representing the average size of each cell to scale. (c) Label all parts of each cell. 8. Record the results. Record all estimates and working for any calculations and scientic diagrams.
Results
Record all results appropriately (see the Student Resource CD for a worksheet).
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2.2
identify the form(s) in which each of the following is carried in mammalian blood: carbon dioxide oxygen water salts lipids nitrogenous waste other products of digestion
Oxygen transport
Blood plays an important role in homeostasis in the body, distributing heat and acting as a buffer to maintain pH levels. It is an extremely complex tissue of the body and also functions in the transport of a wide variety of chemical substances. To maintain homeostasis, chemicals being transported in the blood must be maintained at a particular concentration and carried in a specic form that will not affect the balance in the internal environment of the body. If the normal balance of substances in the blood is altered, conditions such as low blood sugar levels or high blood pressure will arise, bringing with them unpleasant and sometimes dangerous side effects, which are an indication that metabolic functioning has been compromisedhomeostasis therefore also relies on maintaining a balance of chemicals within the blood.
Blood gases
All living cells in the body require oxygen and produce carbon dioxide oxygen is required for the process of cellular respiration and carbon dioxide is produced as a waste product. These gases are carried in particular forms within the plasma or red blood cells of blood, so that the pH and uid concentrations remain stable.
When oxygen diffuses across the respiratory surface of the lung into the blood, most of it (98.5%) combines reversibly with haemoglobin inside the red blood cells. A very small proportion (no more than 1.5%) may travel dissolved in the plasma. Red blood cells are ideally adapted to carrying oxygenthey contain no nucleus, providing ample place for the carrying of many large respiratory pigment molecules called haemoglobin. Haemoglobin has an afnity for (is chemically attracted to) oxygen. The slightly attened, biconcave shape of red blood cells gives them a larger surface area:volume ratio for easy diffusion of oxygen across the surface. Each red blood cell contains approximately 250 million molecules of haemoglobin, resulting in a very high oxygen carrying capacity. When blood in the lungs comes into contact with oxygen that has entered the body by diffusion, haemoglobin in the red blood cells binds with this oxygen, forming a compound called oxyhaemoglobin. This compound gives a bright red colour to blood, as opposed to the dark red appearance of blood when oxygen is lacking deoxygenated haemoglobin is not as bright in colour. Most (but not all) arteries carry bright red oxygenated
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blood, whereas most venous blood is a dark red colour. On colour diagrams in biology, oxygenated blood is usually represented in red, whereas deoxygenated blood is represented using the colour blue. This blood is not really blue, but a dark red. Veins beneath the skin may appear blue, but this is a combination of the dark red blood within the white-yellow vessel wall. (Details of the structure of haemoglobin and its interaction with oxygen are dealt with in more detail on page 43 in the section The adaptive advantage of haemoglobin.)
Carbon dioxide transport
carbon dioxide + water carbonic acid hydrogen carbonate + buffered hydrogen ions CO2 + H2O H2CO3 HCO3 + H+ 2. Some carbon dioxide binds to haemoglobin, forming carbaminohaemoglobin. Haemoglobin does not bind to carbon dioxide in the same way that it binds oxygen. Oxygen binds to the iron atom of haemoglobin, whereas carbon dioxide binds to the amino group of the protein partthe globin molecule, forming carbaminohaemoglobin. As with oxygen, this is a reversible reaction and many carbon dioxide molecules can combine with a single
CO2 transport from tissues tissue cell CO2 produced
When carbon dioxide enters the blood, most (70%) of it is transported in the form of hydrogen carbonate ionsformed in the red blood cells, but carried in the plasma. The remaining carbon dioxide is carried either dissolved in the plasma (7%) or it is carried combined with haemoglobin (23%). Carbon dioxide, produced as a waste product of respiration, diffuses from the cells of the body into the bloodstream. When carbon dioxide enters the bloodstream, some of it dissolves in the plasma. Since carbon dioxide mixed with water forms carbonic acid, it is not ideal for all of the carbon dioxide to dissolve in the plasma, since this would affect the pH of blood. Instead, a large proportion of the carbon dioxide enters the red blood cells. Once there, one of two things happens: 1. Most of the carbon dioxide mixes with water in the cytoplasm within the blood cells and forms carbonic acid. This is rapidly converted to hydrogen carbonate ions (bicarbonate ions). These hydrogen carbonate ions then move out of the red blood cells into the blood plasma and 70% of carbon dioxide is transported in this form. This can be summarised as:
CO2
capillary wall
Hb
HCO3 + bicarbonate
H+
to lungs
Hb
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Figure 2.7 Transport of lipids: (a) micelle; (b) absorption of the end products of digestion
Water is the medium of transport of all substances in the body. It forms the basis of the cytoplasm in all cells, the interstitial uids (tissue uids) surrounding cells and blood and lymph (the transport uids in animals). About 90% of blood plasma is water. The other 10% is made up mostly of various kinds of protein molecules, as well as other substances, including hormones, vitamins, end products of digestion and salts. Salts are carried in blood as ions (charged particles) dissolved in the plasma. For example, the salt sodium chloride (NaCl) is carried as positively charged sodium ions (Na+) and negatively charged chloride ions (Cl) in solution in the watery medium of the plasma. Substances (such as salts) that become ions in solution are often referred to as electrolytes, because of their capacity to conduct electricity. The balance of the electrolytes in our bodies is essential for normal function of our cells and our organs. Common electrolytes found in blood include sodium, potassium, chloride and bicarbonate.
amino acids glucose epithelial cells
The aim of digestion is to break large molecules down to a size small enough for absorption through the intestine wall and into the bloodstream, so that they can be transported to cells in the body where they are required. The digestion of large organic molecules to their smaller end products is summarised below: large organic compound carbohydrates proteins lipids (fats and oils) nucleic acids end product of digestion glucose (simple sugars) amino acids fatty acids and glycerol nucleotides
Glucose and amino acids are watersoluble and so they are transported in the bloodstream dissolved in the plasma, along with other soluble substances, such as nitrogenous bases, vitamins and glycerol, absorbed from the digestive tract.
Lipid transport
lumen of the intestine fat droplets fat micelle (a) lipid transport
chylomicron remnants
Lipids pose a problem in terms of transport, since most of the end products of digestion are insoluble in water and therefore cannot be carried dissolved in plasma. A small proportion of fatty acids and glycerol are soluble and enter the bloodstream directly, but most need to be packaged into small droplets, which pass into the lymphatic system and then into the bloodstream. End products of lipid digestion that are insoluble in water are transported as small spherical particles called micelles. These are transported in colloidal solutiona mixture somewhere between a true solution and a suspensionin the body uid (see Fig. 2.7).
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The absorption of the end products of lipid digestion differs from that of amino acids and glucose, because they pass into lacteals inside the villi of the small intestine instead of being absorbed directly into blood capillaries. During their absorption, they are processed to form micelles called chylomicrons and it is in this form that they are transported. The lacteals, carrying chylomicrons, are part of the lymphatic circulation and these eventually join the main blood supply by emptying into veins in the region of the shoulders.
Nitrogenous wastes
Nitrogenous wastes are harmful substances produced in the body as a result of the breakdown of proteins. These substances need to be transported in a diluted form, from cells where they are produced to the excretory organs where they can be eliminated from the body. Nitrogenous wastes in the form of ammonia, urea, uric acid and creatinine are all carried dissolved in blood plasma.
2.3
Haemoglobin has the adaptive advantage of being able to increase the oxygen-carrying capacity of blood. Haemoglobin molecules each contain four haem units, giving one haemoglobin molecule the ability to bond with four oxygen molecules and so far more
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Figure 2.8 (a) Structure of haemoglobin molecule, made up of four protein chains, each with an iron-containing haem group; (b) the binding of oxygen to a haem group (a)
blood in tissues where the oxygen concentration is low, so that oxygen is delivered to the cells that need it. Metabolising cells release carbon dioxide, which combines with water to from carbonic acid and this lowers the pH. Haemoglobin has the adaptive advantage of a reduced afnity for oxygen at a lower pH and so it releases the oxygen in these tissues where it is needed. (This is known as the Bohr effect). (See Fig. 2.9.) In the tissues of the body, once haemoglobin has released oxygen, it has an increased ability to pick up carbon dioxide. In the lungs, as haemoglobin binds to oxygen, the haemoglobin releases carbon dioxide more easily. The fact that haemoglobin is enclosed in a red blood cell is also of advantage because if it were simply dissolved in the plasma, oxygen would upset the osmotic balance of the plasma.
haem group oxygen
(a)
100 90 80 70 60 50 40 30 20 10 0 (b) 1 2.7 kPa CO2 2 6.7 kPa CO2 3 10.6 kPa CO2 10 12 2 4 6 8 partial pressure of oxygen/kPa 1 2 3
(b)
Figure 2.9 (a) Oxygen saturation of blood as the concentration of oxygen increases; (b) the change in the oxygen carrying capacity of haemoglobin as the carbon dioxide concentration changes
2.4
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outline the need for oxygen in living cells and explain why removal of carbon dioxide from cells is essential
The need for oxygen by cells and why carbon dioxide must be removed
Oxygen is necessary for cellular respiration, a process by which cells obtain energy from glucose. Energy is needed for life-sustaining processes
such as growth, repair of tissues, movement, excretion and reproduction. Although glucose and other food molecules are energy rich, the energy stored in them must be converted into a form that living cells can use for metabolism. Oxygen combines with glucose in a sequence of enzymecontrolled steps during cellular respiration to release chemical energy as ATP, the form of chemical energy needed by cells for their metabolism. This is called the oxidation of glucose and it takes place in all living cells. Carbon dioxide is produced in cells as a waste product of chemical respiration. It must be removed from cells to prevent a change in pH in the cells, bloodstream and body. When
carbon dioxide reacts with water (in the cytoplasm of cells or in the plasma of blood), it forms carbonic acid. A buildup of carbonic acid is toxic, as it lowers the pH of the cells and bloodstream, affecting the homeostatic balance within an organism. A low (acidic) pH would prevent enzymes from functioning optimally and this affects cell functioning by reducing metabolic efciency in the body. Therefore the removal of carbon dioxide is essential for the optimal functioning of enzymes. The rst-hand investigation that follows (The effect of carbon dioxide on the pH of water) provides evidence of the effect of carbon dioxide in solution in the body.
perform a rst-hand investigation to demonstrate the effect of dissolved carbon dioxide on the pH of water
add hydrochloric acid to calcium carbonate marble chips in a delivery tube and capture the resulting gas in a test tube containing limewater to show that the gas is carbon dioxide. 2. To determine the pH of water: the pH of water before and after the addition of carbon dioxide should be determined in one of two ways: using universal indicator solution using a pH sensor and data logger. It is recommended that both methods of measuring pH be carried out, to provide an opportunity for students to compare the accuracy and precision of each. As part of the HSC course skills, students are expected to know how to improve an investigation plan and this provides an ideal opportunity.
Carbon dioxide is produced in living organisms as a result of cellular respiration. When carbon dioxide dissolves in water it forms carbonic acid, which is toxic to cells. All organisms get rid of carbon dioxide as quickly as possible, before it can interfere with the chemical activities of their cells.
Background information
This investigation involves two stepsrst, it must be demonstrated that the gas being used for the investigation is carbon dioxide and, second, the carbon dioxide must be bubbled through water of known pH, to investigate whether the carbon dioxide has any effect on the pH of the water. 1. To demonstrate the presence of carbon dioxide, one of two standard tests using the chemical limewater may be carried out. Clear limewater turns milky white in the presence of carbon dioxide. Students may: exhale through a drinking straw into a test tube of limewater, to demonstrate that carbon dioxide is present in exhaled air.
Task 1: Investigating the effect of carbon dioxide on the pH of water using universal indicator solution
To investigate the effect of dissolved carbon dioxide on the pH of water using universal indicator solution.
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Aim
1. To demonstrate that carbon dioxide is present in exhaled air. 2. To determine the effect of carbon dioxide on the pH on water.
Results
(a) Record the initial pH of the distilled water. (b) Record the pH of the water after it contained dissolved carbon dioxide. (c) State whether each is indicative of a strong or weak acidic or basic solution.
Safety
Discuss risks associated with: Use of limewater. Handling glassware. Blowing into a test tube through a straw.
Discussion
Answer the discussion questions on the Student Resource CD worksheet.
MethodPart 1
Pour 10 mL of limewater into a test tube and gently blow out through two straws. Observe the colour change to determine whether carbon dioxide is present in exhaled air. Discard the solution and straws appropriately.
Conclusion
Write a valid conclusion for this investigation.
Task 2: Investigating the effect of carbon dioxide on the pH of water using a data logger and a pH probe
Aim
To use computer-based technology such as a data logger to nd the effect of dissolved carbon dioxide on the pH of water.
MethodPart 2 SR
Use a measuring cylinder to measure 20 mL of distilled water and pour it into a clean 250 mL conical ask. Place 3 drops of universal indicator solution into the water and estimate the pH of the water by comparing the colour against the standard colours shown on the universal indicator pH colour chart. Place 4 plastic drinking straws into the ask and blow bubbles of exhaled air containing carbon dioxide into the ask for 2 minutes. Now estimate the pH of the water again, noting the change in the colour of the solution. Record the results (a worksheet is provided on the Student Resource CD).
Method
Connect the pH probe of a data logger to a computer and instruct the computer to read the pH of the solution to be tested. Calibrate the pH probe of the data logger (connected to the computer) using distilled water and buffer solutions. Using a measuring cylinder, measure 20 mL of distilled water and pour it into a clean 250 mL conical ask. Place the pH probe into the distilled water and instruct the computer to record and
student exhales air, containing carbon dioxide, into a straw data logger records pH change and transmits information to a computer straw graph appears on computer screen pH 8 beaker 7 6 exhaled air water pH probe measures effect of carbon dioxide on pH of water data logger 5 Time (seconds) exhalation begins
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graph any changes in the pH of the water against time. Place 4 plastic drinking straws into the ask and blow bubbles of exhaled air (containing carbon dioxide) into the ask for 2 minutes or until the graph no longer shows a change in pH. The computer should graph changes in the pH of the water against time. Print out a hard copy of the graphed results for analysis. Compare your results with those of other students.
after dissolved carbon dioxide was introduced. Calculate the change in the pH of the water. Describe the change in the water in terms of acidity or alkalinity.
Results
Insert the computer-graphed result into your practical report. Record the initial pH of the distilled water and the lowest pH of the water
analyse information from secondary sources to identify current technologies that allow measurement of oxygen saturation and carbon dioxide concentrations in blood and describe and explain the conditions under which these technologies are used
are maintained by homeostasis, so changes in these levels reect ineffective metabolic functioning. Unless this can be corrected, the imbalance in metabolism will result in poor health, which may deteriorate to a degree that is life-threatening. The concentrations of oxygen and carbon dioxide in the blood are important indicators of how well the lungs are functioning and the effectiveness of the circulation of blood within the body. The pH of the blood is an indicator of kidney and lung functioning. Both lungs and kidneys are excretory organslungs excrete carbon dioxide, preventing a build-up of carbonic acid and kidneys excrete excess hydrogen ions (H+). A build-up of either of these chemicals would affect blood pH, making it more acidic. The level of electrolytes in the blood may also be an indication of poor kidney functioning.
Aims
To analyse information from secondary sources to: (Part 1) identify current technologies that allow measurement of oxygen saturation and carbon dioxide concentrations in blood. (Part 2) describe and explain the conditions under which these technologies are used. (Part 3) assess the impact of particular advances in biology on the development of technologies (refers to PFA H3).
BIOLOGY SKILLS
H12.3; H12.4 H13.1 H14.1; H14.3
KNOWLEDGE
H6
Extension
To assess the impacts of applications of biology on society and the environment (refers to PFA H4). To identify possible future directions of biological research (refers to PFA H5).
Current technologies
There are two main technologies used to determine the levels of gases in blood. Pulse oximeters are used extensively in hospitals. Most people who have, in recent years, been in hospital for surgery or any breathing-related disorder (such as asthma)
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will probably have had rst-hand experience of the use of this technology. A clip with a sensor is placed on the nger (or earlobe) and the sensor is connected to a monitor that shows the pulse rate and oxygen saturation level. (See Fig. 2.11.) This technology is used
PFA
H5
Figure 2.12 Arterial blood gas analysis
extensively because it is non-invasive and gives a good idea of the oxygen saturation levels of haemoglobin in the patients bloodan indication that breathing and circulation are normal. Arterial blood gas (ABG) analysis is a more invasive technique of analysis and is only carried out if abnormalities show up in the pulse oximeter readings, or in severe cases of breathing disturbance. ABG analysis involves removing blood from an artery (usually in the arm) and performing a blood test using computer-based technology to analyse the chemical components in the sample of blood (see Fig. 2.12). This technology reveals far more detail about the levels of chemicals in the blood, measuring the partial pressures of oxygen and carbon dioxide, the pH and the level of bicarbonate ions. The main use of ABG analysis is in the study of lung disease and conditions of poor gaseous exchange, but the pH and electrolyte (ion) levels measured also give important information about how well the kidneys are functioning. Current and future technology for analysing oxygen saturation in blood includes the use of a mobile phone linked by Bluetooth to a battery-powered oximeter (see Fig. 2.13). This equipment can monitor blood oxygen levels on an ongoing basis in a patient who is mobile and not hospitalised.