Concepts Of Hemostasis Flashcards

1
Q

Components of hemostasis

A

Extravascular
Vascular
Intravascular

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2
Q

Factors affecting the extravacular components

A

Bulk of surrounding tissue
Type of tissue
Tone of tissue

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3
Q

The cement that will bind endothelial cells together

A

Collagen

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4
Q

What comprises the intavascular components

A

Platelets
Coagulation proteins
Fibrinolytic proteins

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5
Q

Process of hemostatic funtion

A

Vessel response
Platelet activation
Coagulation
Fibrinolysis

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6
Q

What is the vessel’s response to injury

A

Vasoconstriction

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7
Q

What is the purpose of vasoconstriction in response to vessel damage?

A

To reduce blood loss

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8
Q

What happens in platelet activation

A

Adhesion
Aggregation
Release reaction
Platelet plug formation

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9
Q

When does release reaction happens?

A

Between platelet adhesion and aggregation

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10
Q

What is the purpose of the contents of the granules released by the platelets?

A

To attract other platelets to go to the site of injury

To cause coagulation reaction

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11
Q

What do you call the granules released by the platelets?

A

Alpha and beta / dense granules

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12
Q

Is platelet plug reversible or irreversible?

A

Reversible

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13
Q

Why is platelet plug reversible?

A

It is unstable and could still be washed off by blood

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14
Q

Interacting pathways in coagulation

A

Intrinsic
Extrinsic
Common

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15
Q

Intrinsic pathway is activated by

A

Collagen

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16
Q

Extrinsic pathway is activated by

A

tissue factor

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17
Q

Common pathway forms

A

Stable/ irreversible clot

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18
Q

Fibrin clot is called

A

Stable/ irreversible clot

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19
Q

Activated plasminogen

20
Q

Plasminogen is activated by

A

Tissue plasminogen activator or TPA

21
Q

What is the purpose of fibrinolysis

A

Restoration of blood flow

22
Q

What substance causes the dissolution of clot

23
Q

End product of vessel response, platelet activation, coagulation and fibrinolysis

A

Decrease blood loss
Platelet plug formation
Stable/ irreversible clot
Restoration of blood flow

24
Q

Phases of hemostasis

A

Primary and secondary

25
What includes the primary hemostasis
Interaction of BV and PLTs leading to decreased blood loss
26
What includes the secondary hemostasis
Interaction between coagulation factors and fibrinolytic proteins leading to the restoration of blood flow
27
Smallest blood vessel
Capillaries
28
BV that reaches the farthest areas of the body
Capillaries
29
Thinnest BV
Capillaries
30
“Back up of capillaries”
Pericytes
31
These are the Larger BV
Arteries and Veins
32
Main function of the capillaries
For metabolic exchange
33
How many cell/s does the capillaries allow to enter
1 cell at a time
34
3 layers of the larger BV
T. Externa/ adventitia T. Interna T. Intima/ interna
35
Outermost layer of the larger BV
T. Externa/ adventitia
36
Components of the T. Adventitia
Adventitial cells or fibroblasts | Collagen
37
Immature cells in the T. Externa tahay would later develop as tissue cells
Adventitial cells or fibroblasts
38
Components of T. Media
Occasional fibroblasts Collagen Smooth muscle Elastic fiber or elastin
39
Arteries have thicker _____ layer than veins
T. Media
40
Components of T. Intima
Collagen | Endothelium same as capillaries
41
What is present in the vein’s T. Interna that is not found in the arteries?
Valves
42
What is the purpose of the valves?
To prevent backflow of blood
43
Adaptive mechanisms of the T. Intima in order to maintain bleed in its liquid state
Coagulation proteins are inactive in form Endothelium is devoid of thrombogenic substances Brisk flow of blood that washes unintended activated proteins 13-hydroxyoctadecadienoic acid/ HODE
44
Barrier between platelets and the emdothelium
13-HODE
45
Synthesised by the endothelium to prevent PLTs from adhering to it in cases of intact vessel
13-HODE