Clotting Flashcards

1
Q

Ecchymoses

A

Larger bruise caused by blood vessel leaking under skin

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2
Q

Petechiae

A

<4mm
Flat, red, non-blanching spots.
From blood vessels leaking under skin.

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3
Q

Purpura

A

4-10mm
Flat, red, non-blanching spots.
From blood vessels leaking under skin.

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4
Q

Embolus

A

Anything that causes an embolism
(blood clot or air bubble)

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5
Q

Embolism

A

Blocking of an artery

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6
Q

Fibrin

A

Forms a mesh-like scaffold around the platelet plug to hold the clot in place. The last step of clotting.

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7
Q

Fibrinogen

A

Protein that converts into fibrin

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8
Q

Fibrinolysis

A

Breakdown of blood clots

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9
Q

Hematopoiesis

A

The process that makes all blood cells

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10
Q

Hemostasis

A

The process of stopping bleeding

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11
Q

Prothrombin

A

Forms thrombin
(Vitamin K-dependent coagulation factor)

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12
Q

Thrombin

A

Enzyme that converts fibrinogen to fibrin

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13
Q

Thrombocyte

A

Platelet

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14
Q

Thrombocytopenia

A

Too little platlets

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15
Q

Thrombocytosis

A

Too many platlets

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16
Q

Thrombus

A

blood clot

17
Q

Menorrhagia

A

Excessive or long-lasting menstrual bleeding

18
Q

What are the steps in the clotting process?

A
  1. Vasoconstriction
  2. Platelet plug forms (of platelets & collagen)
  3. Activates clotting factors
  4. Coagulation cascade that ends in fibrin
19
Q

What is the difference between the intrinsic and extrinsic coagulation cascade?

A

Intrinsic: activated by damage to a vessel (via collagen exposure)
Extrinsic: activated by damage to tissue

20
Q

Top 3 consequences of excessive clotting

A

Brain - embolic stroke
Heart - heart attack
Lungs - embolism

21
Q

Top 2 risk factors for excessive clotting

A
  1. Immobility = venous stasis = clots
  2. Smoking causes vasoconstriction
22
Q

Top 2 risk factors for ineffective clotting

A

Meds, genetics (hemophilia)

23
Q

What are signs of a clot in the lungs?

A

Tachypnea, low o2 sat

24
Q

Top sign of a clot in the heart?
A clot in the brain?

A

Heart: chest pain
Brain: ALOC, stroke signs

25
Top signs of a leg clot (dvt)?
🚩weak pulse at the site Swelling, redness, pain
26
Signs of ineffective clotting
Bleeding Petechiae, purpura, ecchymoses Hematuria Swelling/blood in joints (esp. kids) Enlarged spleen
27
3 signs of both excessive & ineffective clotting
Tachypnea Hypotension & Tachycardia
28
What lab tests indicate ineffective clotting when high?
INR PT PTT
29
What lab tests indicate excessive clotting when high?
Hemoglobin Hematocrit Platelet count Fibrinogen
30
Which lab test will reveal the presence of a clot?
D-dimer
31
Important interventions for ineffective clotting
1. Apply pressure! Ice the area (vasoconstriction) Meds & Transfusions Bleeding precautions Fall precautions Education
32
What activities can cause bleeding in patients w/ineffective clotting?
Sports Constipation/straining Suppositories/tampons/enemas Vigorous sex Using a razor/hard toothbrush
33
Important interventions for excessive clotting
Meds & Education: Avoid foods w/ lots of Vitamin K Compression socks Lifestyle changes