Intro to haemostasis Flashcards

1
Q

What is haemostasis?

A

arrest of bleeding and maintenance of vascular patency

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2
Q

What are the requirements of haemostasis?

A

permanenent state of readiness; prompt response; localised response; protection against unwated thrombosis

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3
Q

What is primary haemostasis?

A

formation of a platelet plug

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4
Q

What is secondary haemostasis?

A

formation of fibrin clot

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5
Q

What are the components of normal haemostatic system?

A

primary and secondary haemostasis; fibrinolysis and anticoagulant defences

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6
Q

What is the lifespan of platelets?

A

7-10 days

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7
Q

What is the result of endothelial damage?

A

exposing of collagen and release of von willebrand factor

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8
Q

What are the consequences of failure of platelet plugs?

A

spontaneous bruising and purpura (esp. in lowerl imbs); mucosal bleeding; intracranial haemorrhage; retinal haemorrhage

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9
Q

What is the screening test for primary haemostasis?

A

platelet count

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10
Q

Why might vitamin C deficiency result in increased bleeding?

A

need to make collagen

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11
Q

What is found on the outside of platelets?

A

negatively charged phospholipid with calcium stuck on

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12
Q

What is released with tissue damage that begins the fibrin clot?

A

tissue factor

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13
Q

What does tissue factor activate?

A

factor VII

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14
Q

What is the action of TF/VII?

A

activates factors V and Xa

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15
Q

What is the function of V/Xa complex?

A

changes prothrombin to thrombin

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16
Q

What are the actions of thrombin?

A

converts fibrinogen to fibrin; and activates VII/IXa

17
Q

What is the purpose of VIII/Xa?

A

activates V/Xa and amplifies the response from TF

18
Q

What is the difference between single and multiple clotting factor deficiencies?

A

single:usually hereditary whereas multiple are usually acquired

19
Q

What other name is prothrombin known by?

A

factor II

20
Q

What converts plasminogen to plasmin?

A

tissue plasminogen activator

21
Q

What is the action of plasmin?

A

convert fibrin to FDPs

22
Q

How are fibrin degredation products detected clinically?

A

d-dimers: cross-linked version of FDPs

23
Q

What does prothrombin time measure?

A

pathway through TF/VIIa ( intrinsic pathway)

24
Q

What does activated partial thromboplastin time measure?

A

pathway though VIII/IXa (extrinsic pathway)

25
Q

What are the naturally occurring anticoagulants?

A

anti-thrombin; protein C and S

26
Q

What are the functions of anti-thrombin?

A

inhibits TF/VIIa; V/Xa; VIII/IXa and thrombin

27
Q

How are Protein S and C activated?

A

thrombomodulin on endothelium binds to thrombin which activates PC and PS

28
Q

Waht are the actiosn of protein C and S?

A

inhibit V/Xa and VIII/IXa

29
Q

What is thrombophilia?

A

deficiency of naturally occurring anticoagulants