Hemostasis Flashcards
primary hemostasis involves
platelet plug formation
secondary hemostasis involves
blood coagulation
tertiary hemostasis involves
dissolution of fibrin clot
platelet glycoprotein that binds to collagen
GPIa
platelet glycoprotein that binds to Von willebrand factor
GPIb
fibrinogen binds to which platelet glycoprotein
GPIIb/GPIIIa
defective GPIb results in
Bernard-Soulier syndrome
prevent degradation of factor VIII
Vw factor
granule contents that activate other platelets and promote aggregation
Calcium and ADP
platelet aggregation is mainly facilitated by
fibrinogen
defective GPIIb/GPIIIa leads to
thrombasenia of Glanzmann and Naegeli (cannot form platelet plug)
conversion of fibrinogen to fibrin requires
thrombin
in the extrinsic pathway, factor VII is activated by
tissue factor
in the extrinsic pathway, factor X is activated by
tissue factor + factor VIIa + Calcium + platelet phospholipids
in the intrinsic pathway, factor IX is activated by
factor XIa
in the intrinsic pathway, factor X is activated by
factor IXa + factor VIIIa + Calcium + PL
what makes up prothrombinase complex
factor Xa + factor Va + Calcium + PL
converts prothrombin to thrombin
prothrombinase complex
coverts soft clot to hard clot
factor XIIIa
pathway activated by crush injury
extrinsic
intrinsic pathway defect will have increase in which lab time
APTT
extrinsic pathway defect will have increase in which lab time
Prothrombin time (INR)
Vitamin K dependent clotting factors
II, VII, IX, X, proteins C & S
Vit K is coenzyme for what
y-Carboxylase
sensitive test for Vitamin K deficiency
Prothrombin time (INR)
drug that activates plasminogen into plasmin
streptokinase or TPA
breaks down fibrin into fibrin degradation products
plasmin
binds to and inhibits factor X and thrombin
anti-thrombin III
activates anti-thrombin III
heparin
Blocks factor 2 & 10
block epoxide reductase in liver to prevent regeneration of activated Vit K
warfarin
deficient in Hemophilia A
factor VIII
deficient in Hemophilia B
factor IX
inheritance of hemophilia
x linked recessive
test to determine effectiveness of platelet plug formation
bleeding time
low platelet count is called
thrombocytopenia
disorder with increased clotting time and increased APTT
hemophilia
Increased in VW disease
Aptt, bleeding time
protein C & S inactivates factors
5 and 8