Phase 1 drive Cardiovascular notes- blood Flashcards

1
Q

What is haematocrit?

A

Volume of red blood cells

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2
Q

What does it mean to be rhesus negative?

A

D antigen is not present

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3
Q

What is anaemia?

A

Reduced haemoglobin in the blood. (Lower than 12.5g/dL)

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4
Q

What is polycythaemia?

A

Higher than average haemoglobin levels

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5
Q

What is the lifespan of a neutrophil?

A

10 hours

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6
Q

What is prothrombin time?

A

How long it takes for blood to clot

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7
Q

What coagulation factors is vitamin K essential for the synthesis of?

A

2,7,9 and 10 can remember this as 1972

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8
Q

What protein in the blood plays the biggest role at maintaining oncotic pressure?

A

Albumin

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9
Q

In haemophilia, which clotting factor is there a deficiency of?

A

VIII (most common) or XI

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10
Q

Describe the mechanism of inheritance of Von Willebrands disease

A

Autosomal dominant

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11
Q

What does Von Willebrands disease result in?

A

A lack of vonwillebrand factor. Usually mild disorder

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12
Q

What could cause an acquired bleeding disorder?

A

Liver disease- site of clotting factor synthesis
Vitamin K deficiency- Vitamin K needed for synthesis of coagulation factors 10, 9, 7 and 2 (1972)
Drugs

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13
Q

Describe the solubility of vitamin K

A

Fat soluble

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14
Q

Describe the formation of the platelet plug

A
  1. Exposure of collagen fibres
  2. Platelets adhere to collagen via vWF. (adheres to vWF by GP1b)
  3. Platelets release their contents
  4. ADP is released which acts on P2Y1 and P2Y12, causing platelet amplification
  5. Thrombin binds to PAR1 and PAR4 receptors, inducing platelet activation and further thrombin release
  6. Platelet activation causes an increase in GPIIb/IIIa receptors which allow platelets to bind to other platelets with a bridge of fibrinogen inbetween
  7. Thromboxane A2 released from platelets and stimulates vasoconstriction and platelet aggregation
  8. Platelet plug contacts
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15
Q

Why doesn’t the platelet plug expand away from the damaged endothelium?

A

Undamaged endothelium secrete prostacyclin which inhibits platelet aggregation
Normal endothelium releases nitric oxide- vasodilator and inhibitor of platelet aggregation

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16
Q

What is the first plasma protein in the intrinsic pathway?

A

XII

17
Q

What causes the activation of factor XII in the intrinsic pathway?

A

Contact with the exposed collagen fibres

18
Q

What does XIIa catalyse the activation of?

A

factor XI

19
Q

What does factor XI catalyse the activation of?

A

factor IX

20
Q

What does IXa catalyse the activation of and what acts as a cofactor in this activation?

A

Catalyses the activation of factor X

Factor VIIIa acts as a cofactor

21
Q

What does Xa convert?

A

prothrombin to thrombin

22
Q

What is thrombin ?

A

the enzyme that converts soluble fibrinogen into insoluble fibrin

23
Q

Where is tissue factor located?

A

On the outer plasma membrane of various tissue cells, including fibroblasts.

24
Q

When the endothelial lining is damaged, the exposed tissue factor binds to which clotting factor?

A

Factor VII

25
Q

What does the complex of tissue factor bound to factor VIIa go on to activate in the extrinsic pathway?

A

Activates factor X and factor IX

26
Q

What clotting factors does thrombin contribute to the activation of in the intrinsic pathway?

A

XI, VIII and V

27
Q

Which pathways is clotting usually initiated by?

A

The extrinsic pathway

28
Q

What roles does the liver play in clotting?

A

Production of clotting factors
Produces bile salts for the absorption of vitamin K- lipid soluble. Vitamin K is needed for synthesis of several clotting factors

29
Q

What is the function of plasminogen activators?

A

Covert plasminogen into plasmin

30
Q

What does plasmin do?

A

Degrades fibrin

31
Q

What platelet receptors does ADP bind to?

A

P2Y1 and P2Y12

32
Q

What receptors on platelets does thrombin bind to?

A

PAR1 and PAR4