Clotting Flashcards
Overview of blood clotting
1) Damage to blood vessel
2) Vasoconstriction to reduce blood flow
3) Thrombocytes attach to wound (Plug formation - release vasoconstrictors for further vasoconstriction)
4) Clotting commences formation of fibrinogen net (Thrombin system)
5) Clot retraction to from scab
6) Clot breakdown
Describe the damage site?
- Walls of blood are usually very smooth
- Damage to vessels creates rough surfaces in lumen which thrombocytes (platelets) stick to
What happens immediately after damage?
Walls of the blood vessels constrict
Describe platelets plugging
- Thrombocytes stick to the damaged area and attract more thrombocytes creating a plug
- For small tares in capillaries this is enough to stop bleeding
Describe vasoconstrictions
- Thrrombocytes release vasoconstrictors that make the walls constrict more and for a longer time, further reducing blood flow to the damaged site
Describe the clotting of blood
- forms over the site of a wound to stop the bleeding
- if a clot forms inside a blood vessel it forms a thrombus
- if a thrombus breaks loose it can lodge in a vital blood vessel in brain/heart and cause a stroke/heart attack
Describe the thrombin system
1) Following damage to a blood vessel, blood platelets and the injured cells release thromboplastin
2) Thromboplastin interacts with CA + prothhrombin (an inactive plasma protein) to form thombin
3) Thrombin converts finbrinagen (inactive plastic protein) to long stretchy fibres of fibrin
4) The fibrin fibres form a mesh at the site of the wound, which traps platelets and blood cells
5) Within a few minutes, the clot starts to contract which pushes the edges of the broken blood vessel together
Summary of thrombin system
- Thrombin + fibrinogen = fibrin
- Fibrin + blood vessels = clot
Describe clot regeneration
- The threads in the clots contract, pulling the damaged vessels apart
- The fluid in the clot (serum) is forced out, drying the clot
- Serum= yellow, clear liquid that comes from the clot