Veterinary Pharma - Clinical Pharmacology Blood coagulation Flashcards
Term for spontaneous arrest of bleeding from damaged blood vessels
Hemostasis
Generally, what are the steps in hemostasis? (6)
Trauma/Damage to blood vessels
Blood vessel spasm
Platelets stick to the exposed collagen of blood vessels
Platelet plug formation
Fibrin reinforces platelet plug
Formation of blood clot
What are the 3 stages of intrinsic fibrin formation?
Activation of Factor 10 (Stuart power factor)
Formation of thrombin
Formation of fibrin
In terms of coagulation factors, what are the factors activated in order?
Factor 10
Factor 10a
Factor 2
Factor 1
Factor 2a
Factor 13
Factor 13 a
Term for a process of removal of formed fibrin.
Fibrinolysis
The proteolytic enzyme that is responsible for fibrinolysis
Plasmin
Generally, what are the steps for fibrinolysis? (5)
Cells are injured
Plasminogen is released
Plasminogen is converted to plasmin
Plasmin mediates fibrinolysis
Remodeling of thrombus by plasmin digesting fibrin
What are the two (2) classes of drugs that affects blood coagulation?
Hemostatics
Antihemostatics
Hemostatics are also known as?
Procoagulants
Antihemostatics are also known as?
Anticoagulants
What does hemostatics or procoagulants do?
Prevents bleeding
What does antihemostatics or anticoagulants do?
Limit formation of intravascular clot (thrombi)
Under Antihemostatic class drugs, what are the 3 subclasses?
Anticoagulants
Fibrinolytics/Thrombolytics
Antithrombotics
What is the class of antihemostatic drugs that prevents blood coagulation?
Anticoagulants
What is the class of antihemostatic drugs that increases plasmin activity which in turn dissolves more clots?
Fibrinolytics/Thrombolytics