Clotting Flashcards

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1
Q

Overview of blood clotting

A

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

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2
Q

Describe the damage site?

A
  • Walls of blood are usually very smooth

- Damage to vessels creates rough surfaces in lumen which thrombocytes (platelets) stick to

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3
Q

What happens immediately after damage?

A

Walls of the blood vessels constrict

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4
Q

Describe platelets plugging

A
  • Thrombocytes stick to the damaged area and attract more thrombocytes creating a plug
  • For small tares in capillaries this is enough to stop bleeding
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5
Q

Describe vasoconstrictions

A
  • Thrrombocytes release vasoconstrictors that make the walls constrict more and for a longer time, further reducing blood flow to the damaged site
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6
Q

Describe the clotting of blood

A
  • 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
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7
Q

Describe the thrombin system

A

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

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8
Q

Summary of thrombin system

A
  • Thrombin + fibrinogen = fibrin

- Fibrin + blood vessels = clot

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9
Q

Describe clot regeneration

A
  • 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
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