Hemostasis and Coagulopathies

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Last updated 3:30 AM on 9/14/23
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35 Terms

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Composition of blood
\-Plasma

\-Blood Cells

\-Thrombocytes(platelets)

\-Leukocytes
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plasma proteins
immune systems
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Erythrocytes
RBCs
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\#of oxygen hemoglobin carry
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platelets
help with clotting
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leukocytes
white blood cells
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pluripotent stem cells
\-makes multiple cell types

\-master cells

\-make blood cells from 3 types of body tissue

\*can self renew
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myeloid stem cells
circulate in blood
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Hemostasis

ability to clot blood

*specifically the lining of a blood vessel

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platelet storage
spleen
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megakaryocytes
large fragment in bone marrow responsible for creating platelets
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thrombopoetin
platelet production
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place of platelet formation
liver, kidney, smooth muscle, bone marrow
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Plasma protiens
\-circulate as inactive procoagulation factors

\-most synthesized by liver

\-von Willebrand factor made by megakaryocytic and endothelium
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calcium factor
works with other clotting factors as a co clotting factor
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vWF
platelet adhesion
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ADP, TXA2
platelet aggregation
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calcium
coagulation cascade
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COX-1
catalyzes production of thromboxane A2

\-present in most tissues in the body especially GI tract protects from digestive juices
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COX-2
catalyzes production of prostacyclin

\-sites of inflammation
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anticoagulant
\-prevents clots

\*not break down clots
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vessel spasm
restricts blood flow to prevent blood loss

allows epithelial later to start healing
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formation of platelet plug
\*platelets arrive quickly

\-von Willebrand factor is released by epithelial lining

\-bind to receptors on collagen fibers to form plug
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blood coagulation
prothrombin→ thrombin turns fibrinogen→ fibrin
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interinsic factor
\-begins in circulation

\*initiated by C12
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extrinsic pathway
\-release mediators when agitated
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clot retratction

-repair epithelial lining

-fibrin threads will be stretched and will squeeze plasma out of wounds

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plasminogen
forms within clot while clot forms
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Clot lysis
Plasminogen activators will turn plasminogen→ plasmin which will digest fibrin
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hypercoagulation
\-extreme blood clot

\-overcoagulation
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thrombocytopenia
decrease production

increased destruction

platelets used up in formed clots
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coagulation disorder
impaired platelets functions

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von willebrand diesease
decrease platelets adhesion
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disseminated intravascular coagulation
unregulated thrombin explosion

\-too much tissue factor

\-leads micro vascular thrombosis and target organ damage
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platelets disorder
bleeding diesease