Haemostatsis Flashcards

1
Q

What is haemostasis

A
  • maintains flowing blood in fluid state and confined to circulatory system
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2
Q

What is the most important feature about haemostatic response

A

Localised

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3
Q

What happens to blood vessels when injury happens

A

Vasoconstriction

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4
Q

What is the primary response driven by

A
  • platelets
  • endothelial
  • fibrinogen
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5
Q

What would 1ry response defects cause in

A
  • immediate bleeding
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6
Q

What is the secondary response driven by

A
  • circulating enzymes
  • platelets
  • fibrin (product of fibrinogen)
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7
Q

What would 2ry response defects cause in

A
  • delayed bleeding
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8
Q

Describe the process of clot forming

A
  • collagen exposed —> platelets adhesion
  • fibrinogen secretion, ADP & TXA2
  • aggregation of molecules
  • thrombin formation
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9
Q

What does fibrinogen do in clot formation

A

Allows platelets to stick together

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10
Q

What is embolisation

A
  • broken off clot from thrombin

- highly dangerous

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11
Q

Which stage of clot formation do drugs target

A

Secretion

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12
Q

What is the mechanism of platelets control

A

Autocrine

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13
Q

How come do platelets stick together quickly

A
  • large no. of receptors
  • high no. of platelets
  • rich in signalling proteins
  • +ve feedback
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14
Q

Describe 1ry response

A
  • platelet adhesion
  • shape change
  • granule release (ADP, TXA2)
  • recruitment
  • aggregation
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15
Q

What are the different shapes of platelets

A
  • flowing disc shape
  • Rolling ball shape
  • hemisphere (firm, reversible adhesion)
  • spreading (irreversible adhesion)
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16
Q

What are dense granules and what do they do

A
  • ATP, ADP, serotonin, Ca2+

- +ve feedback of platelet activation

17
Q

What are a granules

A
  • platelet factor 4
  • PAI-1
  • platelet derived growth factor
  • chemokines
18
Q

What do a granules do

A
  • help coagulation

- ail wound healing

19
Q

Give examples of stimulatory agonists

A
  • ADP
  • Adrenaline
  • Collagen
  • Thrombin
  • Fibrinogen
20
Q

Give examples of inhibitory agonists

A
  • Adenosine

- NO

21
Q

What si the overall reaction to a vascular trauma

A
  • vasoconstriction
  • platelet activation —> adhesion to collagen —> shape Change
  • granule release —> platelet activator, coagulation factors, vasoconstrictors
22
Q

What are the steps of coagulation

A
  • TF exposed
  • FVII binds to TF
  • FVII auto-activated
  • FVIIa cleaves —> activating FX
  • FXa prothrombin, —> thrombin
  • thrombin, fibrinogen —> fibrin
23
Q

Where are TFs present

A
  • perivascular cells