Hemostasis Flashcards
Hemostasis
definition
the arrest of bleeding from a broken blood vessel
Vascular Spasm
when a vessel is damaged, the smooth muscle cells in the wall contract immediately, slowing the blood flow and minimizing blood loss
ADP
role in platelet plug
- released by activated platelets and endothelial cells at injury site
- causes nearby platelets to become sticky
Thromboxane A2
role in platelet plug
- released by activated platelets
- stimulates platelet aggregation and release of ADP
- enhances vascular spasms
Serotonin
role in platelet plug
assists thromboxane A2 in stimulating vasoconstriction
Platelet Derived Growth Factor (PDGF)
a peptide that promotes vessel repair by stimulating the division of endothelial cells, smooth muscle cells, and fibroblasts
Prostocyclin
- a prostoglandin secreted by endothelial and white blood cells
- opposes actions of thromboxane A2
- a powerful inhibitor of platelet adhesion and release (anticoagulant)
Antithrombin III
inhibits several different procoagulants, including thrombin
Heparin
- released by the basophils, mast cells, and endothelial cell
- it accelerated the activation of antithrombin III
Tissue Plasminogen Acitvator (t-PA)
- secreted by endothelial cells
- it converts plasminogen to plasmin which enzymatically degrades fibrin (clots)
Fibrinolysis
- clot destroyed by breakdown of fibrin
- plasminogen is converted to plasmin
Trigger of Extrinisic Pathway
- damaged tissue produces tissue thromboplastin (tissue factor)
- this activates factor VII
Trigger of Intrinsic Pathway
- damaged cells contact collagen
- this activates factor XII
Coagulation Stage 2
prothrombinase converts prothrombin to thrombin
- in presence of calcium
Coagulation Stage 3
thrombin converts fibrinogen to fibrin
- in presence of calcium