Haemostasis Overview
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Questions and Answers

What are the four primary factors involved in hemostasis?

The four primary factors involved in hemostasis are blood vessels, platelets, plasma coagulation factors, and fibrinolysis.

What is the primary hemostatic plug, and why is it considered fragile?

The primary hemostatic plug is a mass of platelets that temporarily arrests bleeding. It is considered fragile because it is easily dislodged from the vessel wall.

What is the role of fibrin in hemostasis?

Fibrin reinforces the unstable platelet plug by forming a chemically stable mesh that binds the platelets together.

What is the secondary hemostatic plug, and how does it differ from the primary hemostatic plug?

<p>The secondary hemostatic plug is the fibrin-reinforced plug that forms after the primary hemostatic plug. It is more stable and less likely to dislodge from the vessel wall.</p> Signup and view all the answers

What is fibrinolysis, and why is it important?

<p>Fibrinolysis is the breakdown of fibrin. It is important because it ensures that the clot is removed once the wound has healed, restoring normal blood flow through the vessel.</p> Signup and view all the answers

What is the consequence of an upset in the balance of hemostasis?

<p>An upset in the balance of hemostasis can result in either bleeding or abnormal blood clotting (thrombosis).</p> Signup and view all the answers

Explain the role of platelets in the primary hemostatic plug formation.

<p>Platelets adhere to the exposed collagen fibers on the injured blood vessel wall and release factors that attract and activate more platelets, forming a temporary plug.</p> Signup and view all the answers

Describe how the primary hemostatic plug is reinforced in the secondary hemostatic plug formation.

<p>The formation of fibrin, through the activation of coagulation factors, reinforces the unstable platelet plug by forming a stable mesh that entraps platelets, red blood cells and other components, creating the secondary hemostatic plug.</p> Signup and view all the answers

What are the two Greek words that combine to create the term "haemostasis"?

<p>The two greek words are &quot;haeme&quot; meaning blood and &quot;stasis&quot; meaning stop.</p> Signup and view all the answers

What are the three major components of the blood vessel wall that contribute to haemostasis?

<p>The three major components are the endothelium, smooth muscle, and connective tissue.</p> Signup and view all the answers

What are the 3 primary components of the circulatory system that play a critical role in haemostasis?

<p>The 3 key components include the blood vessels, the blood, and the heart.</p> Signup and view all the answers

What are the two main processes that maintain haemostasis balance in the body?

<p>The two main processes are coagulation and fibrinolysis.</p> Signup and view all the answers

Describe the purpose of a blood clot in the context of haemostasis?

<p>A blood clot serves as a barrier to prevent excessive blood loss from a damaged blood vessel.</p> Signup and view all the answers

Why is it crucial for a blood clot to eventually dissolve after the vessel is repaired?

<p>It's crucial to prevent the blockage of normal blood flow through the vessel and ensure proper function.</p> Signup and view all the answers

What are the 4 main components of the fibrinolytic system?

<p>The major components include 1) Plasminogen, 2) Plasmin, 3) Tissue plasminogen activator, and 4) Plasminogen activator inhibitor.</p> Signup and view all the answers

Name two vitamin K-dependent blood clotting factors.

<p>Two examples of vitamin K-dependent coagulation factors are Factor II (prothrombin) and Factor VII (proconvertin).</p> Signup and view all the answers

What is the role of platelets and plasma proteins in minimizing blood loss after a cut or injury?

<p>Platelets and plasma proteins work together to form a clot (thrombus) at the site of injury, which acts as a barrier to prevent further blood loss. They also limit the clot to the area of injury, preserving normal circulation in other blood vessels.</p> Signup and view all the answers

Describe the three stages of hemostasis, and briefly explain the key events that occur in each stage.

<p>The three stages of hemostasis are:</p> <ol> <li><strong>Primary hemostasis:</strong> This involves the formation of a platelet plug at the site of injury.</li> <li><strong>Secondary hemostasis:</strong> This involves the formation of a fibrin clot, which reinforces the platelet plug.</li> <li><strong>Fibrinolysis:</strong> This is the process of breaking down the fibrin clot once the injury has healed.</li> </ol> Signup and view all the answers

What are the components of hemostasis?

<p>The components of hemostasis include the vasculature (vessel wall), platelets, and proteins (coagulation factors, fibrinolytic proteins, and inhibitors).</p> Signup and view all the answers

What are the different types of proteins involved in hemostasis?

<p>Hemostasis involves fibrin-forming proteins (responsible for forming the fibrin clot), fibrinolytic proteins (responsible for breaking down the fibrin clot), and inhibitors (which regulate the process at various stages).</p> Signup and view all the answers

Explain the importance of vessel repair in hemostasis.

<p>Vessel repair is essential for the long-term resolution of an injury. Once the clot has formed, the damaged vessel wall needs to be repaired to prevent further bleeding and restore the integrity of the circulatory system.</p> Signup and view all the answers

What happens during the process of fibrinolysis?

<p>Fibrinolysis is the process of breaking down the fibrin clot, dissolving it into smaller fragments. This occurs once the injury has healed and the clot is no longer necessary.</p> Signup and view all the answers

List three examples of coagulation factors that are involved in hemostasis.

<p>Examples of coagulation factors include fibrinogen (factor I), prothrombin (factor II), and tissue factor (also known as factor III).</p> Signup and view all the answers

Flashcards

Hemostasis

The process of stopping bleeding and maintaining blood fluidity.

Primary Hemostasis

The initial response to blood vessel injury, involving platelet aggregation.

Secondary Hemostasis

The formation of a stable blood clot through coagulation cascade.

Fibrinolysis

The process of breaking down a blood clot after vessel repair.

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Coagulation Factors

Proteins in blood that help control bleeding during hemostasis.

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Intrinsic Pathway

A coagulation pathway activated by damage to the blood vessel.

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Extrinsic Pathway

A coagulation pathway triggered by external trauma to tissue.

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Vitamin K Dependent Factors

Coagulation factors that require vitamin K for their synthesis.

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Platelets

Cell fragments that play a key role in blood clotting.

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Fibrin

A protein that forms a fibrous mesh to stabilize blood clots.

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Vasculature

The system of blood vessels in the body.

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Primary Hemostatic Plug

A mass of platelets that temporarily stops bleeding after injury.

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Secondary Hemostatic Plug

A stable plug formed by fibrin that reinforces the primary plug.

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Blood Vessels

Tubes through which blood flows, playing a role in bleeding control.

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Thrombosis

The abnormal formation of blood clots inside blood vessels.

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Study Notes

Haemostasis

  • Haemostasis is the arrest of bleeding.
  • It is derived from two Greek words: haeme meaning blood and stasis meaning to stop.
  • Haemostasis balance is maintained by complex interactions between coagulation, the fibrinolytic system, platelets, vessel walls, and coagulation factors.
  • Haemostasis is the property of blood circulation that maintains blood as a fluid moving through blood vessels and having the ability to form a clot to prevent excessive blood loss when a vessel is injured.
  • The clot is dissolved to ensure normal blood flow when the vessel is repaired.
  • Blood flows through a closed system called the circulatory system.
  • Blood vessels and their constituents control the physiologic functions and integrity of the circulatory system.
  • A traumatic injury (e.g., cut) to the blood vessels may result in bleeding.
  • To minimize blood loss, normally inert circulating platelets and dissolved plasma proteins mobilize to form an insoluble mass (or structural barrier) called a thrombus.
  • The clot prevents further loss of blood and limits its formation to the injured area, maintaining normal circulation in the rest of the body's vessels.
  • Control of bleeding requires the rapid activation of platelets and plasma proteins to prevent blood loss.
  • Hemostasis includes fibrin (clot) dissolution and vessel repair.

Components of Haemostasis

  • Vasculature/Vessel wall
  • Platelets
  • Proteins/Coagulation factors
    • Fibrin-forming proteins
    • Fibrinolytic proteins
    • Inhibitors

Clotting Factors/Coagulation Factors

  • Plasma proteins involved in hemostasis include those that form fibrin, those involved with fibrinolysis, and those that inhibit all stages of the process.

Stages of Haemostasis

  • Primary hemostasis: Primary hemostatic/platelet plug formation
  • Secondary hemostasis: Fibrin generation
  • Fibrinolysis: Breakdown of fibrin, removal of clot

Fibrinolysis

  • After wound healing, additional components of the hemostatic system break down and remove the clot to ensure normal blood flow through the vessel.
  • Functions:
    • Remove fibrin from the vascular system once haemostatic function is fulfilled.
    • Prevent excessive accumulation of fibrin.
  • Excessive fibrinolysis results in bleeding.
  • Inadequate fibrinolytic response can cause delayed lysis of a thrombus and contribute to excess fibrin accumulation.

Blood Clot Formation in a Broken Vessel

  • Detailed diagram showing the steps in blood clot formation.

Haemostasis - Simplified

  • Interaction of blood vessels, platelets, and clotting factors results in haemostasis.
  • Disruption at any stage can lead to bleeding or abnormal blood clotting (thrombosis).

4 Primary Factors of Haemostasis Balance

  • Blood vessels, platelets, plasma coagulation factors, and fibrinolysis maintain the balance between clotting and bleeding in hemostasis.

Primary Haemostasis

  • Platelets interact with injured blood vessels, forming a primary hemostatic plug/platelet plug, arresting bleeding temporarily.
  • The plug is fragile and easy to dislodge from the vessel wall.

Secondary Haemostasis

  • Platelet plug is reinforced with chemically stable fibrin.
  • Fibrin forms through complex biochemical reactions involving soluble plasma proteins (coagulation factors).
  • Factors interact with injured blood vessels and platelet plug, forming the secondary hemostatic plug (thrombus).
  • The insoluble fibrin strands stabilize and reinforce the platelet plug, allowing wound healing without further blood loss.

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Description

This quiz covers the fundamental concepts of haemostasis, including its definition, mechanisms, and the physiological importance of blood clotting. Understand the interactions between various systems that contribute to the maintenance of blood flow and prevention of excessive bleeding when injuries occur.

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