Blood Flashcards

1
Q

What is hematocrit? Does it vary?

A

volume of RBC/ total volume

It is a ratio that tells the volume of red blood cells someone has relative to their total blood volume

Yes it does vary- as in polycythemia (high RBC count) and anemia (low rbc count)

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2
Q

This is the oxygen carrying protein of the erythrocyte?

A

Hemoglobin

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3
Q

What substance stimulates RBC maturation in bone ?

A

Erythropoietin

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4
Q

What is fibrinolysis ?

A

Clot dissolution

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5
Q

Coagulation Cascade is also known as the

A

clotting cascade

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6
Q

A platelet plug is formed when ?

A

When there is damage to the vasculature

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7
Q

The production of platelets is controlled by ……..

A

thrombomodulin

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8
Q

How long do platelets live ?

A

About one week

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9
Q

Where are platelets produced ?

A

Produced in liver, kidney, bone marrow, smooth muscle

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10
Q

Circulate in a quiescent state - what does this mean?

A

That platelets circulate in the blood in an inactivated state . They become activated when there is damage to the vasculature

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11
Q

Platelets have an outer layer of

A

glycoproteins

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12
Q

What kind of substances do the granules of platelets store and secrete?

A

Delta granules store and secrete numerous substances including ADP, Ca2+, TXA2, histamine, serotonin

Alfa granules contain fibrinogen, Factors V and VIII, growth factors, plasminogen

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13
Q

The coagulation system consists of plasma proteins that are present in the blood in what kind of form ?

A

In an inactive form

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14
Q

In the coagulation system, the activation of one factor, or protein, activates the next one in line in a ___________ effect.

What does it ensure ?

A

cascade

This process ensures that we do not have an activation of the cascade by chance

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15
Q

Most of the coagulation system proteins are produced where ?

A

In the liver

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16
Q

True or false….. there are natural anticoagulation factors within the body in order to prevent the clotting cascade from activating when it shouldn’t

17
Q

natural anticoagulation factors:

Endothelium produces ________ which convert plasminogen to plasmin that breaks down the fibrin

18
Q

Which substance converts plasminogen to plasmin?

19
Q

Natural Anticoagulation factors: ___________ III with heparin as a cofactor degrades thrombin, FIXa, FXa, FXIa, and FXIIa

A

Antithrombin

20
Q

Natural Anticoagulation factors: _____________ in tandem with thrombin activate protein C, (a major anticoagulant), which degrades factors Va and VIIIa

A

Thrombomodulin

21
Q

Natural Anticoagulation Factors :

PgI2 and NO are potent vasodilators and inhibit _____________ activation and _________

A

platelet; aggregation

22
Q

Natural Anticoagulation Factors:
_____________ prevents plt. from coming in contact with subendothelial collagen tissue and activating the cascade system

A

Endothelium - the blood vessel itself made up of tightly packed endothelial cells

23
Q

What are the phases of hemostasis ?

A
Subendothelial Exposure 
Adhesion 
Activation
Aggregation 
Platelet plug formation 
Clot retraction and clot dissolution
24
Q

Adhesion phase of hemostasis requires ____________ factor to start plugging the breach and to activate other platelets

A

von Willebrand

25
ADP & TxA2 increase aggregation of additional platelets form a ________ ______
platelet plug
26
This drug blocks irreversibly the formation of TxA2. | What is TxA2 needed for ?
Aspirin | TxA2 is needed to increase the aggregation of additional platelets in order to form a platelet plug
27
Plavix and Ticlid block the ADP receptor, thereby preventing ____________________
aggregation of platelets
28
What is the final result, or end goal, of the coagulation cascade?
Final result is the conversion of the circulating fibrinogen to fibrin strands which will stabilize the clot and close the breach in the blood vessel
29
The conversion of fibrinogen into fibrin is regulated by _________________
thrombin
30
Thrombin is formed from ____________ under the effect of activated factor X and calcium
prothrombin
31
the lysis of a blood clot, or the breakdown of the fibrin strands, is done by
plasmin