Fibrinogen, Thrombin, Fibrinolytic Flashcards

1
Q

What is the principal substrate of the coagulation and fibrinolytic system?

A

Fibrinogen

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2
Q

What are the functions of Fibrinogen?

A

Stabilize the blood clot
Be converted to fibrin

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3
Q

What is the role of Thrombin?

A

Activation of the Platelet system
Activation of the Fibrinolytic System
Convert plasminogen to plasmin
Convert fibrinogen to fibrin

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4
Q

After thrombin converts plasminogen to plasmin, what purpose does plasmin serve?

A

Digests fibrin and fibrinogen
Digests the clot

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5
Q

What by products are created from the breakdown of Fibrin?

A

X, Y, D, E

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6
Q

What by products are produced when Factor XIII is created?

A

D-Dimers

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7
Q

What test do we use to measure degradation of cross linked fibrin?

A

D-dimer test

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8
Q

What are the methods used for the D-dimer test?

A

Immune fluorescence
Immunoturbidity
Chemiluminescence
Semi-quantitively or Qualitatively

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9
Q

What levels do we see of PT/APTT, Fibrinogen, and PLT in a DIC profile?

A

Increased PT/APTT
Decreased Fibrinogen
Decreased PLT

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