Week 1 Cardiac Flashcards
disease that is caused by deficiency in von Willebrand factor
von willebrand disease
disease that is caused by deficiency in Gp1b
bernard-soulier syndrome
disease that is caused by deficiency in GpIIb-IIIa
glanzmann thrombasthenia
secondary hemostasis tests
partial thromboplastin time (PTT) and prothrombin time (PT)
PTT evaluates
12, 11, 9, 8, and 10, 5, 2 (prothrombin), and 1 (fibrinogen) (instrinsic factors)
PT evaluates
7 and tissue factor, and 10, 5, 2, and 1 (extrinsic pathway)
primary hemostasis test
- platelet count
- bleeding time
- von Willebrand factor
Check for fibrin formation and fibrinolysis
D dimer test: specific fibrin degredation product
petechiae
spots of blood on skin
-caused from primary hemostasis disorder
purpura
large bruising
-primary hemorrhagia
thrombocytopenia
decreased number of platelets
epitaxis
nose bleeds
hemophilia A
deficient in CF 8
hemophilia B
deficient in CF 9
inherited hypercoagulation
- factor 5 Leiden
- prothrombin mutation
- deficiency in protein C/protien S (antithrombin)
acquired hypercoagulation
- immobilization
- MI
- atrial fibrillation
- tissue injury
- cancer
- abnormal platelet activation
protective antioxidants
- superoxide dismutase
- catalase
- glutathione peroxidase
- ceruloplasmin, transferrin
protective antiproteases
- alpha-1-antitrypsin
2. alpha-2-macroglobulin
C5a and C3a cause
inflammation
C3b causes
phagocytosis
C5b+C6-9 causes
formation of membrane attack complex (MAC) channel formation in microbe and lysis
vasodilators
- histamine
2. prostaglandings
increases vascular permability
- TNF, IL-1
- histamine and serotonin
- C3a+ C5a
- leukotriene C4, D4, E4
chemotaxis, leukocyte recruitment and activation
- TNF, IL-1
- chemokines
- C3a+C5a
- leukotriene B4