Blood coagulation Flashcards
How much blood does the average adult have?
Around 5 litres
What is the composition of blood?
Plasma - 55%
Buffy coat - 1%
Erythrocytes - 45%
What is the composition of plasma?
Water - 90%
Proteins - 10%
Solutes - 1%
What is composition of proteins in plasma?
Albumin - 60%
Globulin - 36%
Fibrinogen - 4%
What is albumin?
A carrier protein
Osmotic pressure
What are the three components of globulin?
Gamma
Alpha
Beta
What does fibrinogen in plasma produce?
Fibrin
What is are the two components of the Buffy coat?
Platlets and leukocytes
How long do platelets live and where are they made?
Made in bone marrow
Live 5-9 days
What are the different types of leukocytes?
Neutrophils
Eosinophils
Basophils
Monocytes
Lymphocytes
Do erythrocytes have a nucleus?
No
What do erythrocytes do?
Transport gasses
Where are erythrocytes made?
Bone marrow
What is the pH level of blood?
7.35 - 7.45
What is the temperature of blood?
37 degrees
How many liters of blood does a man and woman have?
Male 5-6 litres
Female 4-5 litres
What is haemostatis?
Haem = blood
Statis = stop
What are the three steps to haemostatis?
Vascular constriction
Platelet aggregation
Coagulation
What is vascular constriction?
VASCULAR DAMAGE causes SMOOTH MUSCLE CONSTRICTION and will LIMIT BLOOD FLOW LOCALLY.
What is platelet aggregation?
When collagen is exposed a platelet plug gets formed.
What occurs in coagulation?
The release of prothrombin factor.
Thrombin cuts
Fibrinogen turns into fibrin
What activates the intrinsic pathway of blood clotting?
Activated by endothelial injury in blood vessels.
What activates the extrinsic pathway of clotting blood?
Activated by tissue and platelet injury.
What is a full blood count ?
Takes a venous sample
Tests WBC
Tests RBC
What does less than 4 on a white blood cell blood test indicate?
Anaemia
What does more than 5.5 on a white blood cell blood test indicate?
Polycythaemia
What does less/more than 5000 neutrophils on a blood test indicate?
Less than = Leukopenia
More than = Leucocytosis
What is a PT and INR blood test and what do they test for?
Prothrombin Time (PT) and International Normalised Ratio (INR)
They test for the extrinsic clotting pathway, warfarin levels and liver issues.
What is a PTT blood test and what does it test for?
Partial Thromboplastin Time (PTT) tests for the intrinsic clotting pathway and the heparin level.
What does the D-dimer blood test test for?
Fibrin degradation