HEMOSTASIS AND STAGES OF HEMOSTASIS Flashcards
DEFINITION OF HEMOSTASIS
- vasoconstriction
- platelet adhession and aggregation
- coagulation andfibrinolysis
what are the three hemostatic components
- extravascular components
- Vascular components
- Intravscular components
involves platelets and coagulation factor
Intravascular components
Highly procoagulant
extravascular cells
highly depends on the size of blood vessel, thickness and integrity of endothelial cell lining
vascular components
provides back support and pressure on the injured vessel by means of swelling
extravascular components
factors in extravascular components
- bulk/ amt of surrounding tissue
- type of tissue
- tone of surrounding tissue
Stages of hemostasis
- Primary hemostasis
- Secondary hemostasis
- Fibrinolysis
What are the platelet function cascade
Adhesion- Activation- secretion- aggregation
Primary hemostasis
- Constriction of damaged blood vessel
- Plt fxn cascade
- Formation of a temporary platelet plug formation
Activates adhesion
PECAM
vWF
Activates the activation in plt fxn cascade
Collagen
Characteristic of primary hemostasis
Rapid , short lived response
Delayed, long term
Secondary hemostasis
Slow dissolution and removal of fibrin clot
Fibrinolysis
Inhibits platelet activation
Stimulates vasodilation
Anticoagulant
Prostacyclin
Coats the endothelial cell surface and weakly and weakly enhances the activity of antithrombin III
Anticoagulant
Heparan sulfate
Endothelial cell surface receptor for thrombin (binds and inactivates thrombin)
Enhance anticoagulant and fibrinolytic action of protein C
Anticoagulant
Fibrinolytic
Thrombomodulin
Controls activation of the extrinsic pathway
Anticoagulant
Tissue pathway factor inhibitor
Convert plasminogen to plasmin
Fibrinolytic
Tissue plasminogen activator
Stimulates vasodilation
Reduce blood flow rate
Adenosine
Required for platelet adhesion to site of vessel injury
Procoagulant
Vwf
(Weibel palade bodies)
ICAMS
PECAMS
PROCOAGULANT
Adhesion molecule
P selectins
Intercellular adhesion molecules
PECAMS
Platelet endothelial cell adhesion molecules