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Coagulation
Part 1
25
Nursing
Graduate
11/06/2014

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Term
NORMALLY THE ENDOTHELIUM IS AN ANTITHROMBOTIC SURFACE THAT POSSESSED WHAT 3 THINGS?
Definition
ANTIPLATELET, ANTICOAGULANT, AND PROFIBRINOLYTIC EFFECTS (BREAK DOWN CLOTS)
Term
DOES THE VASCULAR ENDOTHELIUM REPEL PLATELTS TO KEEP BLOOD FREE FLOWING?
Definition
YES
Term
NAME 2 ENDOTHELIAL VASODILATORS AND PLATELET INHIBITORS.
Definition
NITRIC OXIDE AND PRASTACYCLIN
Term
WHAT SUBSTANCE IS SYNTHESIZED IN THE VASCULAR ENDOTHELIUM, WHICH ACTIVATES FIBRINOLYSIS?
Definition
TISSUE PLASMINOGEN ACTIVATOR
Term
AFTER VASCULAR ENDOTHELIAL INJURY WHAT 3 MAIN THINGS HAPPEN?
Definition
VASOSPASM (PART NEUROGENIC AND PART ENDOTHELIAL MEDIATED) PRIMARY HEMOSTASIS (FORMATION OF A PLATELET PLUG (WHITE CLOT), AND SECONDARY HEMOSTASIS (FORMATION OF A CLOT (RED CLOT)
Term
WHAT OCCURS IMMEDIATELY AFTER VASCULAR INJURY? WHAT IS IT MEDIATED BY?
Definition
VASOCONSTRICTION. ENDOTHELIN
Term
VASOCONSTRICTION IS TRANSIENT. WHAT DOES THAT MEAN?
Definition
IF PRIMARY HEMOSTASIS DOESN'T OCCUR, BLEEDING RESUMES.
Term
WHERE ARE PLATELETS DERIVED FROM? WHAT ARE THEY ALSO CALLED?
Definition
BONE MARROW. ALSO KNOWN AS THROMBOCYTES
Term
WHAT IS THE SHAPE OF PLTS?
Definition
NORMALLY CIRCULATE AS INACTIVATED DISCS
Term
WHAT DOES PLTS CONTAIN ON THEIR CELL SURFACE?
Definition
PLTS CONTAIN GLYCOPROTEIN RECEPTORS ON THE MEMBRANE SURFACE. THEY ALSO CONTAIN MEDIATORS AND CHEMICALS INSIDE THE PLTS.
Term
WHAT ARE HALF LIFES OF PLTS?
Definition
7-10 DAYS
Term
HOW DOES PLTS GET REMOVED?
Definition
FROM MACROPHAGES IN THE SPLEEN.
Term
PLTS UNDERGO A 3 STEP CASCADE THAT FORMS A PLT PLUG IN ORDER TO INITIALLY STOP BLEEDING. WHAT ARE THEY?
Definition
ADHESION, ACTIVATION, AGGREGATION
Term
AFTER INJURY OF A VESSEL SUBENDOTHELIAL FACTORS ARE EXPOSED. WHAT IS SECRETED BY THE INJURED VESSEL?
Definition
VON WILLEBRAND FACTOR (vWF)
Term
WHAT DOES VWF BIND TO?
Definition
GLYCOPROTEIN IB RECEPTOR ON THE PLT MEMBRANE
Term
AFTER VWF BINDS TO THE PLTS ON THE GP-1B WHAT DOES THE VWF DO TO THE PLTS?
Definition
MAKES PLT STICKY
Term
AFTER VWF MAKES PLTS STICKY WHAT DOES THAT RESULT IN?
Definition
THIS FORMS A BRIDGE AND ATTACHES THE PLTS TO THE COLLAGEN OF THE SUBENDOTHELIUM.
Term
WHAT IS THE 2ND PHASE OF PRIMARY HEMOSTASIS?
Definition
ACTIVATION
Term
AFTER THE PLTS ADHERE TO THE VESSEL WALL, IT BECOMES ACTIVATED BY WHAT?
Definition
THROMBIN
Term
WHAT HAPPENS TO THE PLTS AFTER THROMBIN COMES INTO THE PICTURE?
Definition
THE PLTS CHANGE SHAPE. TRANSFORMING IT FROM THE DISCOID SHAPE TO A MORE FLAT PANCAKE SHAPE WITH MULTIPLE PROTRUSIONS. THIS GREATLY INCREASES THE SURFACE AREA OF THE MEMBRANE.
Term
WHAT 6 COAGULATION FACTORS DOES PLTS CONTAIN?
Definition
ADP, ATP, CALCIUM, SEROTONIN, HISTAMINE, AND EPI. THESE ARE RELEASED UPON ACITVATION.
Term
DURING ACTIVATION AFTER PLTS CHANGE IN SHAPE WHAT IS RELEASED?
Definition
PLT PHOSPHOLIPASE A2 IS ACTIVATED (PLA2)
Term
PLA2 CAUSES RELEASE OF WHAT?
Definition
ARACHIDONIC ACID.
Term
WHAT DOES THROMBOXANE A2 (TXA2) RESULT IN?
Definition
VASOCONSTRICTION AND ACTIVATES NEARBY PLTS (POSITIVE FEEDBACK)
Term
ARACHIDONIC ACID IS CONVERTED TO WHAT BY WHAT?
Definition
THROMBOXANE A2 BY CYCLOOXYGENASE
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