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What are the four primary factors involved in hemostasis?
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?
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?
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?
What is the secondary hemostatic plug, and how does it differ from the primary hemostatic plug?
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What is fibrinolysis, and why is it important?
What is fibrinolysis, and why is it important?
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What is the consequence of an upset in the balance of hemostasis?
What is the consequence of an upset in the balance of hemostasis?
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Explain the role of platelets in the primary hemostatic plug formation.
Explain the role of platelets in the primary hemostatic plug formation.
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Describe how the primary hemostatic plug is reinforced in the secondary hemostatic plug formation.
Describe how the primary hemostatic plug is reinforced in the secondary hemostatic plug formation.
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What are the two Greek words that combine to create the term "haemostasis"?
What are the two Greek words that combine to create the term "haemostasis"?
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What are the three major components of the blood vessel wall that contribute to haemostasis?
What are the three major components of the blood vessel wall that contribute to haemostasis?
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What are the 3 primary components of the circulatory system that play a critical role in haemostasis?
What are the 3 primary components of the circulatory system that play a critical role in haemostasis?
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What are the two main processes that maintain haemostasis balance in the body?
What are the two main processes that maintain haemostasis balance in the body?
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Describe the purpose of a blood clot in the context of haemostasis?
Describe the purpose of a blood clot in the context of haemostasis?
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Why is it crucial for a blood clot to eventually dissolve after the vessel is repaired?
Why is it crucial for a blood clot to eventually dissolve after the vessel is repaired?
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What are the 4 main components of the fibrinolytic system?
What are the 4 main components of the fibrinolytic system?
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Name two vitamin K-dependent blood clotting factors.
Name two vitamin K-dependent blood clotting factors.
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What is the role of platelets and plasma proteins in minimizing blood loss after a cut or injury?
What is the role of platelets and plasma proteins in minimizing blood loss after a cut or injury?
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Describe the three stages of hemostasis, and briefly explain the key events that occur in each stage.
Describe the three stages of hemostasis, and briefly explain the key events that occur in each stage.
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What are the components of hemostasis?
What are the components of hemostasis?
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What are the different types of proteins involved in hemostasis?
What are the different types of proteins involved in hemostasis?
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Explain the importance of vessel repair in hemostasis.
Explain the importance of vessel repair in hemostasis.
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What happens during the process of fibrinolysis?
What happens during the process of fibrinolysis?
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List three examples of coagulation factors that are involved in hemostasis.
List three examples of coagulation factors that are involved in hemostasis.
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Flashcards
Hemostasis
Hemostasis
The process of stopping bleeding and maintaining blood fluidity.
Primary Hemostasis
Primary Hemostasis
The initial response to blood vessel injury, involving platelet aggregation.
Secondary Hemostasis
Secondary Hemostasis
The formation of a stable blood clot through coagulation cascade.
Fibrinolysis
Fibrinolysis
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Coagulation Factors
Coagulation Factors
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Intrinsic Pathway
Intrinsic Pathway
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Extrinsic Pathway
Extrinsic Pathway
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Vitamin K Dependent Factors
Vitamin K Dependent Factors
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Platelets
Platelets
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Fibrin
Fibrin
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Vasculature
Vasculature
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Primary Hemostatic Plug
Primary Hemostatic Plug
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Secondary Hemostatic Plug
Secondary Hemostatic Plug
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Blood Vessels
Blood Vessels
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Thrombosis
Thrombosis
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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.