Coagulation Flashcards
Blood coagulation pathways
*Cross-linking leads to stronger clot
Fibrinogen(F1A) to Fibrin(F1)
Catalyzed by Thrombin 2A
Catalyzed by Prothrombin
Prothrombin catalyzed by 10A
Soluble protein that circulates in the plasma
Insoluble
Fibrinogen
Fibrin
What pathway
Activated by contact with certain surfaces
Endothelial damage
Intrinsic pathway
What pathway
Activated by tissue factor, a lipoprotein
Trauma
Extrinsic pathway
tPA converts plasminogen into plasmin
Plasmin converts fibrin into soluble fragments
Fibrinolysis
Blood clot formed within intravascular space during life
Lead to ischemia (hyperperfusion), necrosis
Thrombus
Portion of material distinct from blood carried by bloodstream from one side of body to another
Embolus
Virchow’s Triad
Predisposing to coagulation
Stasis - sluggish blood flow due to hyperviscosity, resulting to polycythemia (high RBCs)
Altered endothelial
Hypercoaguability
Use of Heparin
Anticoagulant GAG
Sulfate groups
Prevent thrombosis
Binds antithrombin, enhancing inhibitory effect against thrombin and Factor Xa
Vit K antagonist
Warfarin
Problem of coagulation
…
Coagulation is dependent on Calcium
So true