22-23 coag Flashcards
hemostasis definition
- maintenance of fluid state of blood
- balanced btwn procoag, anticoag, fibrinolysis
5 stages of coag
1) vasoconstriction
2) formation of hemostatic plug
3) formation of blood clot
4) control of coag
5) fibrinolysis
vasoconstriction involves
NS, endothelin, collagen
vasoconstriction purpose
- limit blood flow
- allows localization of platelets/clotting factors
endothelin function in vasoconstriction
- peptide hormone
- constricts blood vessels
- raises BP
- along with NS, triggers vascular spasm
NS function in vasoconstriction
along with endothelin, triggers vascular spasm
collagen function in vasoconstriction
triggers subsequent phases of coag
3 steps to form hemostatic plug
adhesion, activation, aggregation
adhesion (hemostatic plug formation) involves
collagen, vWF
collagen function in adhesion (hemostatic plug formation)
binding site for platelets
vWF function in adhesion (hemostatic plug formation)
enhances collagen:platelet binding
activation (hemostatic plug formation) involves
platelets, which release:
ADP, 5-HT (seratonin), thromboxane A2 (T2A2), platelet factors
activation (hemostatic plug formation) purpose
formation of “sticky platelets”, will bind to each other in aggregation