Coagulation Flashcards

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1
Q

What are the three Major systems involved with coagulation?

A
  1. Vessel wall
    - Endothelium: Slippery so cells don’t stick
    - Basement membrane: Endo attached to this
  2. Platelets
  3. Coagulation cascade
    - Coag factors (proteins)
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2
Q

The endothelium is slippery and keeps things ____ through a series of chemical processes. This keeps the platelets in an ____ state.

A
  1. Moving
  2. Inactive state
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3
Q

Antithrombotic properties of the endothelium is…

A

The endothelium is slippery and keeps things moving through a series of chemical processes. This keeps the platelets in an inactive state.

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4
Q

Hemostasis in regards to coagulation is keeping the blood ___.

A

Blood flowing, blood flow

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5
Q

What are three things coagulation (clotting) at the proper time needs in order to do this?

A
  1. Needs to be rapid
  2. Localized
  3. Reversible!!
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6
Q

Thrombosis means…

A

“Blood clot”
This is the official word for it

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7
Q

Anticoagulant properties are ____-like molecules. These activate anti-thrombin III. Basically, it ____ active proteases.

A
  1. Heparin-like molecules
  2. Inactivates active proteases.
    - Proteases play a role in clotting cascade
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8
Q

Name the two phases of coagulation

A
  1. Mechanical
  2. Chemical
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9
Q

Coagulation’s Mechanical phase is the ____ of the vessel. ___ are attracted to the damaged endothelium of the blood vessel.
Now, platelets attach to the ___ and ___ ___. They release ____.

A
  1. Vasoconstriction of the vessel
  2. Platelets are attracted to the damage
  3. Endothelium and each other (they attach to)
  4. Thromboxane is released by the platelets
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10
Q

T/F: Coagulation’s Chemical phase is essential for blood vessels as they are much larger than capillaries.

A

True

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11
Q

Chemical phase is also called the “Coagulation Cascade.”
List the three pathways and the outcome from them.

A
  1. Intrinsic pathway
  2. Extrinsic pathway
  3. Common pathway
  4. Outcome: FIBRIN!!
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12
Q

T/F: Less than half of the clotting factors are made in the liver

A

False! All of them are made in the liver (like vitamin K)

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13
Q

List five inhibitors of coagulation

A
  1. Vitamin K antagonists
  2. EDTA
  3. Citrate
  4. Oxalate
  5. Heparin
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14
Q

List two birth defects that can affect coagulation

A
  1. Hemophilia
  2. Von Williebrands
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15
Q

List some acquired disorders/diseases that affect coagulation (5)

A

1.Rodenticide: Rat poison
2. Thrombocytoenia: Tick borne, etc
3. Liver failure: Liver helps w/clotting!
4. Disseminated Intravascular Coagulation (DIC): Commonly sepsis
5. Snake bites! Ooo WA AH AH AHH

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16
Q

Canine Platelet Count
Normal amount:
Low:
At risk for bleeding to death:

A

Normal: 350,000
Low: 50,000
At risk: 10,000
- This Px would be at risk for bleeding to death <week

17
Q

T/F: A Px’s platelet count is <50,000.
This means the numbers are low for adequate protection of the body. They are present, but not functioning correctly.

A

True

18
Q

Platelet testing (2)

A
  1. Platelet count
    - Will not work if they are clumped :(
  2. Platelet function
    - Buccal Mucosal Bleeding Time
    - Von Williebrand’s Factor
19
Q

What is ACT (activated clotting time) specifically evaluating in the Px?

A

Every clinically significant clotting factor (except No 7)

20
Q

What is the normal range for a dog in ACT in seconds?

A

60 to 120 seconds

21
Q

What is the clinical importance of agglutination?

A

Lets us know if ther are antibodies against the RBCs which is lethal!

22
Q

What are the differences between rouleaux & agglutination of RBCs in a saline test?

A

Rouleaux: The saline will disperse the formations/clumps
Agglutination: Saline won’t break apart the clumps/formations

23
Q

What does a pulse ox evaluate?

A

The saturation of hemoglobin

24
Q

How does pulse ox technology work?

A

Using LED light, it measures the amount of light that can pass through the patient or is reflected thru the tissues.

25
Q

Ranges of SPO2%
Normal:
Mild hypoxemia:
Moderate:
Severe:

A

Normal: 100-95%
Mild hypoxemia: 94-90%
Moderate: 89-85%
Severe: Below 85%