Circulation Flashcards

1
Q

In any wound due to trauma where there is haemorrhage (bleeding), what 3 things occur in order to help reduce haemorrhaging?

A

thrombosis
vasoconstriction
clotting

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2
Q

what are the two components of thrombus/thrombi?

A

-fibrin
-platelets

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3
Q

what two components make up a clot

A

fibrin and RBC

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4
Q

what enzyme does the clotting factor use?

A

serine proteases

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5
Q

what is embolism ? and what is it derived from?

A

a mass of material moving through the vascular system

dervied from thrombus being cu

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6
Q

what can an embolus end up blocking in the vascular system?

A

block its lumen

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7
Q

what is a normal blood pressure value?

A

120/80mm/Hg

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8
Q

what does the clotting cascade produce ?

A

produces thrombin from prothrombin

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9
Q

what does thrombin convert ?

A

fibrinogen into fibrin

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10
Q

state whether fibrinogen & fibrin are soluble or insoluble and also state if theyre large or small

A

fibrinogen is soluble & small
fibrin is insoluble & large

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11
Q

what does the word ischaemia mean and what chain of events happen due to ischaemia ?

A

poor blood supply to a tissue
causes hypoxia which causes necrosis

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12
Q

what two organs does having shock affect?

A

the brain & kidney (ischaemia in both)
the brain is reversible but then becomes permanent

kidney is reversible but becomes more severe

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13
Q

what type of obstruction occurs when thrombus blocking happens?

A

complete and partial obstruction

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14
Q

what is the name given to something when the localized area of the tissue dies?

A

infarction

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15
Q

when does homeostsis occur/has been achieved in terms of bleeding - is it when bleeding continues or once bleeding has stopped?

A

homeostasis is achieved once bleeding has stopped

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16
Q

what is thrombolysis ?

A

when plasmin cuts fibrin into smaller fragments

17
Q

describe the function of the carotid sinuses

A

when BP drops the cartotid sinuse sends a signal to the brain. the brain tells the heart to pump faster via SNS signal and HR increases to compensate for loss in BP.

18
Q

3 functions of platelets

A
  • trauma to vessels
    -adhere
    -exposure
19
Q

what is the clotting system activated by?

A

collagen and stagnant blood

20
Q

what does smoking cigarretes do to your platelets and what is the chance of thrombus forming due to this ?

A

increases the stickiness of platelets
thrombus is more likely to form

21
Q

how is thrombus removed ?

A

plasminogen protein is converted into plasmin

plasmin cuts fibrin into smaller fragments (process called thromolysis)

22
Q

where does thrombus occur and its role

A

occurs in flowing blood & stops bleeding

23
Q

what are multiple layers of clot and thrombus called ?

A

Lines of Zahn.

24
Q

what is Lines of Zahn?

A

multiple layers of clot and thrombus

25
what is the lumen of artery/blood vessels lined by?
endothelial cells
26
what surrounds the basal lamina ?
smooth muscle cells
27
what surrounds smooth muscle cells ?
collagen fibres
28
where are clotting factors mainly produced?
in the liver 'liver makes factors'
29
where in the body are platelets found and what type of cell produces them?
found in the bone marrow and produced by megakoryocytes
30
what is the literal meaning of coagulation ?
solidification
31
what are two types of coagulation ?
thrombus and clotting
32
what colour is thrombi
pale cream
33
what state must blood be for a clot to form?
stationary/stagnant
34
describe the 3 predisposing situations that occurs in Virchow's Triad
-hypercouagibility -changes to blood flow -damage to endothelium
35
what is atheroma ?
build up of lipid/plaque in the artery(initima of arerty)
36
what organ would you get a infection in as a result of Mesenteric artery thrombosis
in the gut
37
what do carotid bodies respond to?
responds to the partial pressur eof oxygen
38
what are the 2 signs to indicate a patient has circulatory shock?
-low BP -fast pulse (>100bpm)
39
state 3 types of circulatory shock & what each involve
1) Hypovolaemic shock - reduction of blood in circulation 2) Septic shock - heart muscle loses tone, resulting in bradycardia 3) Cardiogenic shock - heart is unable to pump properly