Coag 2 Flashcards
GP Ib/V/IX
how platelets attach to vWF
substances in delta granules
ADP
ATP
serotonin
Ca
GP IIb/IIIa
binds fibrinogen
GP IIb/IIIa inhibitors
abciximab
integrilin
aggrastat
diseases of primary hemostasis
Bernard-Soulier
Glanzmann
vWD
hematomas and hemarthroses due to defects in
secondary hemostasis
vWF made in
endothelial cells
megakaryocytes
negatively charged glass activaes
intrinsic pathway
tissue factor activates
extrinsic pathway
defects of pre-kalllikrein and kallikrein
increased PTT
no bleeding problem
factor 7 activates
10 and 9
tissue factor pathway inhibitor binds
factor 10a
thrombin converts
fibrinogen to fibrin
thrombin activates factors
5, 8, 11, 13
fibrinogen to fibrin
_______ cross-links fibrin
13
_____dissolves fibrin
plasmin
Plasminogen converted into plasmin by
tissue plasminogen activator
urokinase/streptokinase
Inhibitors of fibrinolysis
TPA inhibitor
alpha-2-antiplasmin
TAFI (thrombin activatable fibrinolysis inhibitor)
Protein C activated by
Thrombomodulin boud to thrombin
Protein C and Protein S
inhibit factors 5 and 8
antithrombin binds to ___ and inhibits___
binds to heparin
inhibits factors 2(thrombin),9,10,11,12
PTT measures
all factors except 7 and 13
INR calculation
(paient PT/normal mean PT)^ISI
Factor 13 deficient labs
normal PT/PTT and platelets
increased PT only
Factor 7 deficiency/inhibitor
coumadin
liver dz
dysfibrinoginemia
increased PTT only
heparin
vWD
deficiencies of 8, 9, 11
lupus anticoagulant
increased PT and PTT
liver dz vit K def coumadin or heparin DIC dysfibrinogenemia
increased PT and PTT with decreased platelets
DIC
liver disease
HIT
thrombin time measures
conversion of fibrinogen to fibrin
things that increase thrombin time
paraprotein
heparin
dysfibrinogenemia
reptilase time measures
fibrinogen to fibrin but insensitive to heparin
Increased reptilase time caused by
dysfibrinogenemia
time-dependent prolangation of mixing study seen in
factor 8 inhibitor
1st phase of platelet agg caused by
ADP release
2nd phase of platelet agg caused by
ADP and TXA2
biphasic platelet aggs (2)
ADP and epinephrine
what would cause loss of 2nd phase of platelet agg with ADP and epi
aspirin
storage pool defect