Haemostasis, Haemorrhage, & Shock Flashcards
What is haemostasis?
The body’s physiological response to stop bleeding of a blood vessel?
What is a haemorrhage?
An escape of blood from a ruptured blood vessel
What are the 3 components involved in haemostasis?
- Vascular response
- Platelet response
- Plasma response (coagulation)
What happens in the vascular response of haemostasis?
- Smooth muscle contracts to reduce blood flow
- Endothelium allows for platelet adhesion and aggregation
What happens in the platelet response of haemostasis?
- Platelets contact vessel wall and adhere & aggregate.
- Release chemicals which cause further aggregation which results in formation of a platelet plug - effective for sealing small blood vessels
What happens in the plasma response (Coagulation) of haemostasis?
- Conversion fibrinogen -> fibrin to form clot
- Numerous clotting factors involved (produced in liver, Vit K required)
- The clotting factors are activated in an enzyme cascade
What is fibrinolysis and when does it occur?
Fibrin breakdown by enzymes
When clot served purpose, dissolved by enzyme plasmin
What is shock?
Shock is a life threatening condition that occurs when the body is NOT getting enough blood flow
What are some types of shock?
- Hypovolemic shock (occurs when more than 20% of blood volume is lost, not enough volume to provide entire body)
- Cardiogenic shock (heart fails as pump)