hemostasis Flashcards
platelet function
1) exposed collagen
2) platelets release ADP and thromboxane A2
3) platelets adhere to area of injured endothelium mediated by von willebrand factor
secreted granules
1) dense
- ADP, ATP, serotonin, Ca++
2) alpha granules
- PDGF, fibrinogen, VWF, platelet factor 4 (coag cascade), etc.
platelet interactions and signaling
1) COX2 for platelet function
- arachidonic acid => prostacyline or thromboxane A2
2) dipyridamole inhibits phosphodiesterase
- calms platelets to resting state
3) clopidogrel inhibits binding of ADP
4) abxicimab inhibits binding of fibrin
5) aspirin is irreversible ibuprofen is reversible
- inhibit platelet COX and TXA2
aspirin
1) both antiinflammatory and anticoagulant
2) not recommended for primary cardiovascular prevention
3) reommended for secondary prevention
laboratory tests
1)