BLOOD TYPE 1 Flashcards

1
Q

whats hemostasis

A

Series of reactions resulting in the stoppage of bleeding after a break in a blood vessel wall

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2
Q

what are the three stages of hemostasis

A

1) Vascular spasm
2) Platelet plug formation
3) Coagulation

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3
Q

whats vascular spasm

A

initiated by the loss of blood/smooth muscle injury/pain receptors and leads to vasoconstriction; protective process to stop blood flow; smooth muscle contracts and stops blood flow

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4
Q

how long does vascular spasm last and what does it allow for

A

» Attenuates blood loss for ~20-30 minutes
» Allows time for next two steps

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5
Q

what do intake endothelial cells release to keep platelets from aggregating

A

nitric oxide and prostacyclin (normal condition)

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6
Q

how do platelet plugs form

A

injury of lining to vessel exposes collagen fibers (so platelets adhere) and platelets release chemicals that make nearby platelets sticky so platelet plug forms

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7
Q

so what happens when damaged endothelium exposes underlying connective tissue?

A

Platelets adhere to collagen fibers (become activated)
- Swell, form spiked processes, become stickier

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8
Q

what chemicals do platelets release and what do they do

A

Release ADP, Serotonin, and Thromboxane A2 → enhance platelet aggregation (positive
feedback mechanism)

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9
Q

is primary hemostasis enough to fix most wear and tear

A

yes

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10
Q

whats coagulation/blood clotting needed for

A

larger breaks

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11
Q

what are clotting factors

A

plasma proteins which are inactive until mobilized and form collagen fiber and fibrin

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12
Q

what results in the blood clot (fibrin mesh)

A

Platelet plug reinforced with fibrin threads (“glue” for the platelets)

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13
Q

what happens to blood when fibrin threads are formed

A

Blood turns from liquid to gel

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14
Q

whats primary hemostasis

A

formation of a primary platelet plug
» Plugs small injuries especially in microvessels (< 100 μm) in mucosal tissues

platelet adhesion and aggregation and platelet plug formation

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15
Q

whats secondary hemostasis

A

formation of insoluble, cross-linked fibrin by activated clotting factors, specifically thrombin

coagulation and platelet plug stabilization

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16
Q

what does fibrin stabilize in secondary hemostasis

A

the primary platelet plug, particularly in larger blood vessels where the platelet plug is insufficient alone to stop hemorrhage

17
Q

whats thrombus

A

Clot in an unbroken blood vessel
- Can be deadly in areas such as heart

18
Q

what does corornay thrombosis lead to

A

heart attack

19
Q

whats embolus

A

A thrombus that breaks away and floats freely in blood stream
- Potential to clog vessels in critical areas (eg. pulmonary embolism)

20
Q

what are some causes of thromboemlic disorders

A

burns, physical blows, fatty material, slow blood flow

21
Q

what are examples of anticoagulant drugs that block the clotting process

A

aspirin, heparin, warfarin