Coagulation Flashcards

1
Q

Hemostasis

A

Stopping the flow of blood

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2
Q

What does hemostasis prevent

A

The minor bumps and bruises of daily life from being fatal

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3
Q

What are the three phases of the separate mechanisms?

A

Mechanical phase
Chemical phase
Final Phase

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4
Q

What two responses make up the mechanical phase?

A

Vascular response

Platelet response

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5
Q

Vascular response

A

The arteries and arterioles contract and reduce the size of the lumen when the vessels are damaged

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6
Q

What does the constriction of the vessels do?

A

Decreases blood flow so less blood is lost

Turbulence activates platelets

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7
Q

Platelet response

A

When the platelets hit connective tissue or injury they activate and become sticky, grabbing onto each other, creating a plug

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8
Q

von Willebrand’s factor

A

Required for platelets to stick to the site of injury

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9
Q

Chemical phase

A

Coagulation mechanism response aka clotting cascade

Involves a number of clotting factors

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10
Q

What two pathways does the chemical phase involve?

A

Intrinsic and extrinsic pathways

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11
Q

What does the chemical phase result in?

A

Fibrinogen being converted into fibrin

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12
Q

Final Phase

A

Degradation of the fibrin clot

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13
Q

Coagulation Mechanism Response or Clotting Cascade

A

Fibrinogen and other substances in the blood are inactive and when activated they change from a liquid to a semi-solid substance

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14
Q

When activated, what are fibrinogen and other substances called?

A

Clotting factors
Numbered I-XIII
VI is missing

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15
Q

Activation of clotting factors: Intrinsic Pathways

A

Activated without tissue contact

Example: IV Catheter placement without proper anti-coagulant

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16
Q

Activation of clotting factors: Extrinsic Pathways

A

More commonly activated

Activated with tissue contact outside of the blood vessel (injury)

17
Q

What is important to remember in sample collection for coagulation?

A

Minimize tissue damage

Minimal venous stasis

18
Q

Why must you never use an indwelling catheter to obtain a sample for coagulation testing?

A

Because it may have fibrinogen, fibrin, and platelets around the catheter

19
Q

What is the preferred method to collect blood for coagulation testing?

A

Vacutainer or monovette

The proper ratio of anticoagulant to blood

20
Q

Coagulation tests: aPTT

A

Activated partial thromboplastin time

21
Q

What does aPTT measure?

A

The contact activation (intrinsic) pathway is initiated by the activation of the “contact factors” of plasma

22
Q

Coagulation tests: PT

A

Prothrombin time test

23
Q

What does the PT test measure?

A

The tissue factor (extrinsic) pathway is initiated by the release of tissue factor

24
Q

In-House Analyzers

A

Use fresh or citrated anticoagulated blood

IDEXX Coag DM; Q-labs Insight

25
Q

Thromboelastograph

A

Measures initial clot to fibrinolysis
Clot formation time
Strength of clot
Breakdown time

26
Q

Platelet Function Analyzers

A

Assessment of platelet adhesion and aggregation
Blood is drawn through an aperture and platelets adhere to the membrane
Measures the time it takes to occlude aperture with platelets is recorded