Primary Hemostasis Flashcards
Complex process that stops bleeding and maintains blood in the fluid state
hemostasis
Systems involved in maintaining hemostasis: BPCFS
blood vessels
platelets
coagulation factors
fibrinolysis
serine protease inhibitors
response to vascular injury; formation of platelet plug/white clot
primary hemostasis
activation of coagulation proteins to produce fibrin
secondary hemostasis
Prostacyclin; nitric oxide; endothelin
platelet inhibitor; vasodilator; vasoconstrictor
Reduced if injury to the endothelial cells occur promoting vasoconstriction
prostacyclin and nitric oxide
vasoconstriction is promoted by
epinephrine and serotonin
Happens due to reduced prostacyclin (platelet inhibitor)
platelet adhesion
attaches to the GP Ib resulting to platelet adhesion
vWF
the shape change of platelet due to contraction of the microtubules
disk shape to spherical
Platelet stimulating agents that cause platelets to adhere with each other
atp
collagen
epinephrine
thrombin
act as a cofactor by binding with GP IIb/IIIa in platelets.
fibrinogen
binding of GP IIb/IIIa by fibrinogen is stimulated by presence of
Ca2+ and Mg2+
also causes platelet aggregation
prostaglandins
hydrolize phospholipids to release arachidonic acid
phospholipases