Haemostasis Flashcards
Thrombin firbin mesh
thrombin along with Ca2+ (Calcium ions) converts the soluble fibrin into insoluble fibrin
Clotting factor 13 whihc is fibrin
Phase once prothrombinase is converted
prothrombinase converts to prothombin into thrombin
Extrinsic Pathway to prothrombin activator
Activated by tissue trauma, damaged cells release tissue factor into blood
Leads to activation of clotting factor 10, which combines with clotting factor 5 to form prthombinase
Intrinsic Pathway to prohtrombin activator
blood comes in contact with exposed collagen fibrres of damaged endothelial cells and damaged platelets
Exposed collagen fibres activate clotting factor 12
Initiating cascade reactions which lead to activation of clotting factor 10
Activated clotting factor 10 with clotting factor 5 produces prothombinase
Coagulation
Blood clotting reinforces the platet plug with fibirn threads
Clotting factors (proaugkants) mostly plasma proteins
Platelet Plug Formation chemicals
platelets swell and become spiked and release ADP which causes more platelets to stick and release their contents.
Serotonin and thromboxan A2 to enhance vascular spasm and platelet aggregation
Platelet Plug Formation
Platelets stick to collagen fibres that are exposed when a vessel is damaged.
Von Willebrand factor helps to stabilise platelet-collagen adhesion
Vascular Spasm
Vasoconstriction which can be triggered by smooth mm
Chemicals released by endothelial cells and platelets
Pain reflexes
Haemostasis
fast series of reactions for stoppage of bleeding
DIsorders of haemostasis
Undesirble clotting- thrombus, thromboembolism
Blood disroders, thrombocytopenia, haemophilia
Fibrinolysis
process that removes uneeded clots
When a clot is formed, the plasma protein plasminogen is incorporated into the clot. When plasminogen is activated it becomes plasmin.
Plasmin is a fibrin digesting enzyme
. Therefore, plasmin will dissolve the fibrin which holds a clot together
Fibinolysis begins within two days of a clot forming and extends over a few days until the clot is dissolved
Thrombin to fibrin mesh?
thrombin along with Ca2+ (Calcium ions) converts the soluble fibrin into insoluble fibrin
Clotting factor 13 which is fibrin stbalizig factor whihc helps fibrin strand to stick together to form a fibrin mesh