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Intro to Coagulation
68K 12-01 Hemo 101 Unit 5
18
Other
Undergraduate 2
01/24/2012

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Term
Hemostasis
Definition
The process by which the body stops the leakage of blood from the vascular system after injury.
Term
Coagulation
Definition
Sequential process by which multiple plasma enzymes and cofactors interact.
Term
Fibrinolysis
Definition
slow and continuous degradation of fibrin clots.
Term
Primary Hemostasis
Definition
occurs in small injuries to the blood vessels, includes the formation of a platelet plug and introduction of coagulation factors.
Term
Secondary Hemostasis
Definition
Necessary to control bleeding from large wounds.
Term
Stages of Hemostasis
Definition
PRIMARY
Stage 1 - Vasoconstriction
Stage 2 - Platelet Plug Formation
SECONDARY
Stage 3 - Fibrin Clot Formation
Stage 4 - Fibrinolysis
Term
Stage 1 - Vasoconstriction
Definition
damage blood vessel constricts, decreasing blood flow to injury.
Term
Stage 2 - Platelet Plug Formation
Definition
Platelets clump together and adhere to injury, forming plug. Coag. factors present in blood and tissue interact to form clot.
Term
Stage 3 - Fibrin Clot Formation
Definition
Coag. Facotrs in the blood and tissue interact to form a fibrin clot to stop blood flow. Fibrin clot is formed through The Coagulation Cascade.
Term
Stage 4 - Fibrinolysis
Definition
When blood flow stops the clot is dissolved. Keeps the vascular system free of fibrin and fibrin clots. Mediated by Plasmin which gradually breaks down the clot.
Term
The Coagulation Cascade
Definition
The activation of 12 different coag factors or proteins, in sequence.
Term
Capillaries
Definition
Smallest in diameter, most numerous, injuries usually mended by direct sealing.
Term
Veins/Arteries
Definition
Mended by vasoconstriction, fusion of platelets and factor activation.
Term
Tunica Externa (Adventitia)
Definition
Thin, outtermost layer. Connect tissue cell support. Attaches vessel to surrounding tissues.
Term
Tunica Media
Definition
Middle layer, smooth muscle and elastic muscle. Serves in vasoconstriction during Primary Hemostasis.
Term
Tunica Intima (endothelium layer)
Definition
Innermost single layer. Unexposed and intact endothelium layer. Non-reactive with platelets and unable toinitiate cascade.
Term
Platelet Function
Definition
>50,000 are required for normal hemostasis. Participate in primary hemostasis by forming plt. plug. Participate in secondary hemostasis by providing binding sites for coag proteins.
Term
Platelet Role in Hemostasis
Definition
Play a role in both the formation of a primary plug as well as the coagulation cascade. A break in the lumen initiates a series of platelet reactions.
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