hemostasis Flashcards
the process of hemostasis involves what 4 things?
vessel wall,
platelets,
coagulation cascade,
fibrinolytic system
cell based theory of coagulation
posits that coagulation occurs on different cell surfaces that contain tissue factor (TF)
vessel structure of arteries and veins
tunica adventia(outer), tunica media, tunica intima
vessel structure of capillaries
single layer of endothelial
endothelial cells synthesize and secrete
procoagulants,
anitcoagulants,
fibrinolytics (vWF, tissue factor, NO, prostacyclin, thromboxane a2, ADP, tissue factor pathway inhibitor
the tunica intima (endothelial layer) forms a barrier separating fluid contents within the blood vessel from the highly ________ material that lies in the tunica media
thrombogenic
necessary cofactor for adherence of platelets to the subendothelial layer
Von Willebrand factor (vWF)
Activates the clotting cascade pathway when injury to the vessel occurs
tissue factor
endothelial cells- vasoconstriction
thromboxane A2,
Adenosine diphosphate (ADP),
Setotonin
endothelial cells- vasodilation
nitric oxide,
prostacyclin
endothelial cells- coagulation inhibitors
tissue factor pathway inhibitor
extremely thrombogenic, very active, collagen and fibronectin
tunica media-subendothelial
control of blood flow by influencing the vessel’s degree of contraction via vasodilation by: NO, Prostacyclin
tunica adventitia- third layer
Mediators of intima
vWF,
tissue factor,
prostacyclin,
nitric oxide
mediators of media layer
collagen and fibronectin
mediators of adventitia
nitric oxide and prostacyclin
procoagulant mediators
collagen, vWF, and fibronectin (coagulation factors, protein c and s, thrombomodulin)
collagen function
tensile strength
vWF function
adhesion
protein c function
degrades factors v and VII
protein s function
cofactor for protein c
fibronectin function
mediates cell adhesion
thrombomodulin function
regulates anticoagulant pathway
anticoagulant mediators
antithrombin II and tissue pathway factor inhibitor