Some i missed out L7? Flashcards
What are the changes from feotal to adult circulation?
- Foramen ovale ——> Fossa ovalis
- Ductus venosus——> Ligamentum venosum
- Ductus arteriosus——> Liigamentum arteriosum
What happens to the ductus arteriosus when baby takes first breath?
The lungs expand, blood rushes into pulmonary circulation. Oxygen levels rise. Then the ductus arteriosus is constricted.
What happens to the Foramen ovale when the baby takes first breath?
The pressure in the left atria rises, forman ovale closes. becomes fossa ovalis
What happens to the ductus venosus?
Umbilical cord is tied, umbilical vessels close. The ductus venosus fibroses.
What happens at the atrioventricular valves when ventricular pressure becomes higher than atrial?
The papillary muscles contract, stretching the chordae tendinae. This closes the valves.
What are the 3 specialised connections in foetal circulation?
- Foramen ovale- between right and left atria
- Ductus arteriosus- Bypasses lungs. pulmonary trunk to aorta
- Ductus venosus- bypasses liver. left umbilicala flow to inferior vena cava.
What is the coagulation phase?
The conversion of soluble plasma protein to insoluble rigid polymer fibrin.
Fibrinogen to Fibrin.
How does coagulation happen?
Fibrinogen (soluble)
Add thrombin (enzyme)
This causes polymerisation
Goes to Fibrin (insoluble)
Factor XIII stabilises fibrin
What can naturally reduce clotting?
Natural anticoagulents
Antithrombin- inhibits thrombin
Heparin- accelerates antithrombin
Why is calcium needed in clotting?
Calcium ions needed in extrinsic and intrinsic pathways
Why is vitamin K needed in clotting?
Vitamin K needed to produce certain clotting factors in the liver, including prothrombin