Phase 1 drive Cardiovascular notes- blood Flashcards
What is haematocrit?
Volume of red blood cells
What does it mean to be rhesus negative?
D antigen is not present
What is anaemia?
Reduced haemoglobin in the blood. (Lower than 12.5g/dL)
What is polycythaemia?
Higher than average haemoglobin levels
What is the lifespan of a neutrophil?
10 hours
What is prothrombin time?
How long it takes for blood to clot
What coagulation factors is vitamin K essential for the synthesis of?
2,7,9 and 10 can remember this as 1972
What protein in the blood plays the biggest role at maintaining oncotic pressure?
Albumin
In haemophilia, which clotting factor is there a deficiency of?
VIII (most common) or XI
Describe the mechanism of inheritance of Von Willebrands disease
Autosomal dominant
What does Von Willebrands disease result in?
A lack of vonwillebrand factor. Usually mild disorder
What could cause an acquired bleeding disorder?
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
Describe the solubility of vitamin K
Fat soluble
Describe the formation of the platelet plug
- Exposure of collagen fibres
- Platelets adhere to collagen via vWF. (adheres to vWF by GP1b)
- Platelets release their contents
- ADP is released which acts on P2Y1 and P2Y12, causing platelet amplification
- Thrombin binds to PAR1 and PAR4 receptors, inducing platelet activation and further thrombin release
- Platelet activation causes an increase in GPIIb/IIIa receptors which allow platelets to bind to other platelets with a bridge of fibrinogen inbetween
- Thromboxane A2 released from platelets and stimulates vasoconstriction and platelet aggregation
- Platelet plug contacts
Why doesn’t the platelet plug expand away from the damaged endothelium?
Undamaged endothelium secrete prostacyclin which inhibits platelet aggregation
Normal endothelium releases nitric oxide- vasodilator and inhibitor of platelet aggregation