Hemostasis/Coagulation Flashcards
Activated by trauma
Extrinsic clotting pathway
Activated by damage to the internal surface of a vessel
Intrinsic clotting pathway
immediate vasoconstriction and formation of platelet plug at damaged site
Primary hemostasis
Clotting cascade and the formation of fibrin clot
Secondary hemostasis
bright, red blood in the stool
hematochezia
digested, dark blood in the stool
melena
blood in the urine
hematuria
coughing up blood
hemoptysis
heavy menstrual bleeding
menorrhagia
nose bleed
epitaxis
PT/INR
Lab - Extrinsic Pathway
aPTT
Lab - Intrinsic Pathway
Chemotherapy/radiation, cancer in the bone marrow, B12/folate deficiency
Decreased production - platelet disorders
Idiopathic thrombocytopenic purpura, heparin-induced thrombocytopenia, DIC, medications (thiazides, digoxin, heparin)
Decreased survival - platelet disorders
Splenomegaly (enlarged spleen can cause spleen dysfunction), hypothermia
Splenic sequestration - platelet disorders