Primary Hemostasis, Platelet Function. Lab Tests Flashcards
Cellular elements of hemostasis
Vascular intima
Extracellular tissue factor bearing cells
Platelets
Plasma components of hemostasis
Coagulation and fibrinolytic
Structure of blood vessel wall
Vascular initima
Rhomboid and contiguous
Endothelial cells
Anticoagulant properties of Vascular intima
Lamina propia Nitric oxide Heparin sulfate TFPI Thrombomodulin PGI2 or prostacyclin TPA
Activates fibrinolytic serum. Dissolves clot
TPA
Vasodilator, inhibits platelet activation
Prostacyclin
Activates protein C pathway. Digest factor Va and VIIIa
Thrombomodulin
Inactivates coagulation factor VIIa
TFPI
Inactivates extrinsic factor
TFPI
Retards coagulation by activating antithrombin
Heparin sulfate
Counteracts vasoconstriction
Nitric oxide
Relaxing factor
Nitric oxide
Promotes platelet activation and adhesion
Collagen
Origin of collagen
Fibroblast
Activates fibrin bound plasminogen to form plasmin
TPA
Digest thrombus and restore blood flow
Plasmin
Inhibits activation of fibrinolytic system
PAI-1
Adhesion molecules
P-selectin
ICAM
PECAM
Induce vasoconstriction
Smooth muscle cells
Who secretes vWF
Endothelial cells
Promotes leukocyte binding
ICAM
PECAM
Promotes platelets and leukocytes binding
P selectin
Platelets roll and cling to nonplatelet surfaces
Adhesion
Platelet adheres to each other
Aggregation
Platelets discharge the contents of their granules
Secretion
Absence of GP IIb/IIIa
Glanzmann thrombostemia
Absence of Gp Ib/IX
Bernard soulier syndrome
Where is vWF being stored
Weible palade bodies