Blood: Composition, Plasma, Blood Cells & Functions | MBBS


Blood: Composition, Plasma, Blood Cells & Functions | MBBS



Blood is a specialized connective tissue in fluid form. It is often described as the “fluid of life” because it transports oxygen and nutrients to tissues and carries carbon dioxide and metabolic waste away. It also contributes to immunity, temperature regulation and maintenance of the body's internal environment.

1. Properties of Blood

Blood is normally red because of hemoglobin present in red blood cells. Arterial blood is bright red because it contains more oxygen, while venous blood is darker red because of its lower oxygen content.

Property Normal Feature
Blood volume Approximately 7–8% of body weight in a typical adult
pH Approximately 7.35–7.45
Specific gravity Approximately 1.050–1.060
Viscosity About 4–5 times that of water

2. Composition of Blood

Blood consists of plasma and formed elements. Formed elements include red blood cells, white blood cells and platelets.


Component Approximate Proportion
Plasma ~55%
Formed elements ~45%

Blood Cells

  1. Red blood cells (erythrocytes) – transport oxygen and contribute to carbon dioxide transport.
  2. White blood cells (leukocytes) – provide immune and defensive functions.
  3. Platelets (thrombocytes) – play an essential role in hemostasis and blood clotting.

3. Hematocrit or Packed Cell Volume

The hematocrit (Hct), also called packed cell volume (PCV), is the percentage of blood volume occupied by red blood cells after centrifugation.

Hematocrit = Volume of packed RBCs ÷ Total blood volume × 100

In a typical adult, hematocrit is roughly 40–45%, although normal values vary with sex, age, altitude and laboratory reference range. A thin layer called the buffy coat, containing mainly white blood cells and platelets, lies between the plasma and packed RBCs.

4. Plasma

Plasma is the clear, straw-colored liquid portion of blood. It consists mainly of water, together with proteins, electrolytes, nutrients, hormones, gases and metabolic waste products.

Major plasma proteins include albumin, globulins and fibrinogen. Albumin contributes importantly to plasma colloid osmotic pressure, while globulins include antibodies and other transport proteins. Fibrinogen is essential for blood coagulation.

5. Serum

Serum is the fluid that remains after blood has clotted. During clotting, fibrinogen is converted into fibrin and becomes part of the clot. Consequently, serum lacks fibrinogen and several other clotting factors consumed during coagulation.

Serum ≈ Plasma − Fibrinogen and consumed clotting factors
Exam point: Plasma contains fibrinogen; serum normally does not contain fibrinogen.

6. Functions of Blood

Nutritive Function

Blood transports glucose, amino acids, lipids, vitamins and other nutrients absorbed from the gastrointestinal tract to tissues.

Respiratory Function

Hemoglobin carries oxygen from the lungs to tissues. Blood also transports carbon dioxide from tissues back to the lungs for elimination.

Excretory Function

Metabolic waste products are transported by blood to organs responsible for their elimination, particularly the kidneys, lungs, liver and skin.

Hormone and Enzyme Transport

Blood carries hormones released by endocrine glands to their target tissues and transports various biologically active substances.

Regulation of Water and Acid–Base Balance

Blood exchanges water with the interstitial fluid and helps maintain body fluid balance. Plasma proteins and hemoglobin also act as important buffers that help maintain acid–base balance.

Temperature Regulation

Blood distributes heat throughout the body and participates in heat loss and heat conservation, helping maintain core body temperature.

Storage Function

Blood serves as a readily available circulating reservoir for water, electrolytes, glucose and other substances required by tissues.

Defensive Function

White blood cells provide cellular defense. Neutrophils and monocytes can engulf microorganisms, while lymphocytes are important in adaptive immunity. Platelets and plasma clotting factors also help prevent blood loss after vascular injury.

7. High-Yield MBBS Revision

  • Blood = Plasma + Formed elements.
  • Plasma ≈ 55% and formed elements ≈ 45% of blood volume.
  • RBCs are mainly responsible for oxygen transport.
  • WBCs are important for body defense and immunity.
  • Platelets are essential for hemostasis.
  • Hematocrit/PCV represents the percentage of blood volume occupied by RBCs.
  • Plasma contains fibrinogen; serum does not.
  • Hemoglobin and plasma proteins contribute to acid–base buffering.

Quick Takeaway

Blood is a multifunctional connective tissue that links virtually all organs of the body. Its cellular components perform oxygen transport, immunity and hemostasis, while plasma provides the fluid medium for transporting nutrients, hormones, electrolytes and waste products. Together, these components help maintain homeostasis, metabolism, defense and internal stability.

Medical Disclaimer: The information provided in this article is strictly for educational, study, and exam-preparation purposes. It does not constitute professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for clinical decisions.

Hitesh Kumar

Welcome to Medikalnotes. I am dedicated to providing simplified, exam-focused medical revision notes and clear breakdowns of complex clinical concepts for healthcare students and professionals. All content is carefully structured for educational and academic preparation.

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