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coagulation
everything I need to know for coagulation
17
Medical
Graduate
05/12/2011

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Term
Factor I
Definition
Fibrinogen- substrate for thrombin and precursor of fibrin. it is a large globulin protein. Its function is to be converted into an insoluble protein and then back to soluble components.
Term
Factor II
Definition
Prothrombin- precursor to thrombin in the presence of CA. It is converted to thrombin. It in turn stimulates platelet aggregation and activates cofactors protein C and factor XIII. It is vitamin K dependent
Term
Factor III
Definition
Thromboplastin- Tissue factor activates factor VII when blood is exposed to tissue fluids
Term
Factor IV
Definition
Ionized Calcium- This active form of calcium is needed for the activation of thromboplastin and for conversion of prothrombin to thrombin
Term
Factor V
Definition
Proaccelerin or labile factor- consumed during clotting and accelerates the tranformation of prothrombin to thrombin. Vitamin K dependent factor. 20% found on platelets
Term
Factor VII
Definition
Proconvertin or Stable Factor- This is actived by tissue thromboplastin, which in turn activates factor X. It is vitamin K deptndent
Term
Factor VIII
Definition
Antihemophilic- used for the cleavage of factor X-Xa by IXa. deficient in hemophilia A. not synthisized exclusively by liver. genetically controlled by X chromosome. Forms complex with vWF
Term
Factor IX
Definition
plasma Thromboplastin component- component of the thromboplastin generating system. it influences amound as opposed to rate. it is deficient in hemophilia B also known as christmas disease- sex linked and vit K dependent
Term
Factor X
Definition
stuart-prower- final common pathway merges to form conersion of prothrmbin to thromib activity also related to factors VII and IX. it is vit K dependent and cn be indepently activted by russells viper venom
Term
Factor XI
Definition
Plasma thromboplastin antecedent. Essential to intrinsic thromboploastin generating of the cascade- jewish population- risk of potoperative hemorrhage
Term
Factor XII
Definition
Hageman factor- this surface contact factor is activated by collagen. Patients do not bleed but have a tendency to thrombosis
Term
Factor XIII
Definition
Fibrin Stabilizing Factor-In the presence of calcium this transaminase stabilized polymerized fibrin monomers in the initial clot. This is the only factor that is not found in circulating plasma.
Term
Fibrinogen group
Definition
FACTORS I,V, VIII, and XIII they are consumed during coagulation
Term
prothrombin group
Definition
factors II, VII, IX and X are all dependent on viatmin K. This group is stable and remains preserved in stored plasma
Term
contact group
Definition
Factor XI, XII prekalikrein, and HMWK.. moderately stable and not consumed during coagulation
Term
Intrinsic system
Definition
APTT (Heperin therapy) contact activation pathway
Term
extrinsic system
Definition
PT (coumadin therapy) tissue factor pathway
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