Hemostasis, Coagulation and Fibrinolysis

Summary

This document provides an overview of hemostasis, including coagulation, and fibrinolysis. It details the process of clot formation and dissolution, covering cellular and plasma components. The document also explains primary and secondary hemostasis.

Full Transcript

· Module 1: Hemostasis, Coagulation, And Fibrinolysis ① Refers to the response to vascular injury...

· Module 1: Hemostasis, Coagulation, And Fibrinolysis ① Refers to the response to vascular injury that produces a platelet plug at the site of damage. Activated by small injuries to blood - vessels - SMALL INJURY Rapid, short-lived response Components: -PLATELET PLUG ▪ Vascular system ① ② Arteries Veins Capillaries ▪ Platelets Secondary hemostasis -- Hemostasis The process that keeps blood fluid in the circulation and then, when an injury occurs, produces a clot to stop the bleeding, keeps the clot confined to the ② site of injury and finally dissolved the Activated by large injury to the blood - clot as the wound heals. vessels Delayed, long-term response Key components of hemostasis Involves the enzymatic activation of the LARGE - Cellular coagulation proteins to produce fibrin INJURY ▪ Cells of vascular intima from fibrinogen. - FIBRIN ▪ Extravascular tissue factor Stabilization of the platelet plug formed bearing cells in primary hemostasis. ▪ Platelets Components: Plasma components ▪ Coagulation factors ▪ Coagulation proteins ▪ Inhibitors ▪ Fibrinolytic proteins ▪ Inhibitors Fibrinolysis The stable clot is dissolved – ③ Primary hemostasis proteolytic digestion of - fibrinogen and fibrin by the enzyme plasmin. The final event of hemostasis