Blood is the life-maintaining fluid that circulates through the entire body.

Blood carries the following to the body tissues:

• Nourishment

• Electrolytes

• Hormones

• Vitamins

• Antibodies

• Heat

• Oxygen

• Immune cells (cells that fight infection)

Blood carries the following away from the body tissues:

• Waste matter

• Carbon dioxide

The components of human blood are:

• Plasma. The liquid component of the blood in which the following blood cells are suspended:

  • Red blood cells (erythrocytes). These carry oxygen from the lungs to the rest of the body

  • White blood cells (leukocytes). These help fight infections and aid in the immune process. Types of white blood cells include:

    • Lymphocytes

    • Monocytes

    • Eosinophils

    • Basophils

    • Neutrophils

  • Platelets (thrombocytes). These help in blood clotting.

Blood cells are made in the bone marrow. The bone marrow is the spongy material in the center of the bones that makes all types of blood cells.

There are other organs and systems in our bodies that help regulate blood cells. The lymph nodes, spleen, and liver help regulate the production, destruction, and function of cells. The production and development of new cells in the bone marrow is a process called hematopoiesis.

Blood cells formed in the bone marrow start out as stem cells. A stem cell (or hematopoietic stem cell) is the first phase of all blood cells. As the stem cell matures, several distinct cells evolve. These include red blood cells, white blood cells, and platelets. Immature blood cells are also called blasts. Some blasts stay in the marrow to mature. Others travel to other parts of the body to develop into mature, functioning blood cells.

The main job of red blood cells, or erythrocytes, is to carry oxygen from the lungs to the body tissues and carbon dioxide as a waste product, away from the tissues and back to the lungs. Hemoglobin (Hgb) is an important protein in the red blood cells that carries oxygen from the lungs to all parts of our body.

The main job of white blood cells, or leukocytes, is to fight infection. There are several types of white blood cells, and each has its own role in fighting bacterial, viral, fungal, and parasitic infections. Types of white blood cells that are most important for helping protect the body from infection and foreign cells include the following:

• Neutrophils

• Eosinophils

• Lymphocytes

• Monocytes

• Basophils 

White blood cells:

• Help heal wounds not only by fighting infection but also by ingesting matter, such as dead cells, tissue debris, and old red blood cells.

• Protect you from foreign bodies that enter the bloodstream, such as allergens.

• Are involved in the protection against mutated cells, such as cancer.

The main job of platelets, or thrombocytes, is blood clotting. Platelets are much smaller in size than the other blood cells. They group together to form clumps, or a plug, in the hole of a vessel to stop bleeding.

A CBC count is a measurement of size, number, and maturity of the different blood cells in the blood sample. A CBC can be used to find problems with either the production or destruction of blood cells. Variations from the normal number, size, or maturity of the blood cells can be used to mean there is an infection or disease process. Often with an infection, the number of white blood cells will be elevated. Many forms of cancer can affect the production of blood cells. For instance, an increase in the immature white blood cells in a CBC can be associated with leukemia. Blood diseases, such as anemia and sickle cell disease, will cause an abnormally low hemoglobin.

Your healthcare provider will explain the purpose and results of any blood tests with you.