Blood Physiology Part 6 Flashcards

(41 cards)

1
Q

What is the primary trigger of arterial thrombosis?

A

Rupture of an atherosclerotic plaque, disrupting the endothelium and exposing plaque contents to blood.

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2
Q

What are key triggers of venous thrombosis?

A

Abnormal blood flow and increased coagulability, often with an intact endothelium.

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3
Q

What are two commonly used anticlotting drugs?

A

Aspirin and warfarin

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4
Q

What is aspirin?

A

An anti-prostaglandin drug that inhibits thromboxane A2 formation (blocking platelet aggregation and platelet plug formation.

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5
Q

What does aspirin appear to be effective at ?

A

preventing heart attacks

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6
Q

What does admission of aspirin following a heart attack do?

A

significantly reduces the incidence of sudden death and a
recurrent heart attack.

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7
Q

How does warfarin decrease blood clotting?

A

blocking an enzyme called vitamin K epoxide reductase that reactivates vitamin K,. Without sufficient active
vitamin Ky, clotting factors II, VII,
and X have decreased clotting ability.

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8
Q

What is warfarin commonly used to treat?

A

treat blood clots such as deep vein thrombosis and pulmonary embolism, and to prevent stroke in people who have atrial fibrillation, valvular heart disease or artificial heart valves

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9
Q

Chinese medicine in treatment of thrombosis

A

1.丹dan 参shen
2。红hóng 花hua
3。川chuan 芎xiõng

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10
Q

Chinese medicine in treatment of thrombosis

A

丹dan参shen
红hóng花hua
川chuan 芎xiõng

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11
Q

Anything that interferes with the clotting mechanism can?

A

result in abnormal bleeding

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12
Q

What are the most common causes of bleeding disorders?

A

platelet deficiency (thrombocytopenia) and deficits of some clotting factors, which can result from impaired liver function or genetic conditions such as hemophilia.

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13
Q

What is Thrombocytopenia?

A

condition in which the number of circulating platelets is deficient it causes spontaneous bleeding from small blood vessels all over the body

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14
Q

What is one of the difficulties of having Thrombocytopenia?

A

Even normal movement leads to widespread hemorrhage, evidenced by many small purplish spots,
called petechiae, on the skin.

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15
Q

What is usually the diagnostic for Thrombocytopenia?

A

A platelet count of under 50x10% of blood

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16
Q

Purpose of platelets

A
  1. Platelets physically block potential gaps in the vascular lining
  2. Platelets and platelet components promote the growth of endothelial cells
  3. Platelets help maintain the endothelium ultrastructure
  4. Platelets release soluble factors that enhance the barrier function of the endothelium
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17
Q

What do platelets support?

A

Platelets support the integrity and barrier function of blood vessels

18
Q

What is hemophilia?

A

Hemophilia is a kind bleeding disorder in which blood doesn’t clot normally because it lacks sufficient clotting factors

19
Q

What are the three types of hemophilia?
And what do they result from?

A

•Hemophilia A results from a
deficiency of factor VIII.
•Hemophilia B results from a
deficiency of factor IX.
•Hemophilia C results from a
deficiency of factor XI

20
Q

What are the three types of hemophilia?
And what do they result from?

A

•Hemophilia A results from a
deficiency of factor VIII.
•Hemophilia B results from a
deficiency of factor IX.
•Hemophilia C results from a
deficiency of factor XI

20
Q

What does losing 15-30% of blood cause?

A

causes pallor and weakness

21
Q

What does losing more than 30% of blood volume result in?

A

in severe shock,which can be fatal.

22
Q

When are whole blood transfusions routine?

A

when blood loss is rapid and substantial

23
Q

What do RBC plasma membrane bear at their external surfaces?

A

bear highly specific glycoproteins , which identify each of us as unique from all others

24
What are the glycoprotein markers called?
Antigen
25
What is an antigen?
An antigen is anything the body perceives as foreign and that generates an immune response
26
One person's RBC proteins may be recognized as foreign if transfused…..
into someone with a different red blood cell type, and the transfused cells may be agglutinated (clumped together) and destroyed
27
Since these RBC antigens promote agglutination, they are more specifically called?
agglutinogens.
28
There are At least ………groups of naturally occurring RBC antigens (blood groups) found in humans
30
29
What allows a person's blood cells to be classified into different blood groups?
The presence or absence of various antigens
30
Why is reason, blood typing for these antigens always done before blood is transfused?
Antigens determining the ABO and Rh blood groups cause vigorous transfusion reactions (in which the foreign erythrocytes are destroyed) when they are improperly transfused
31
What are the ABO blood groups based on?
the presence or absence of two agglutinogens, type A and type B. • The possible blood types are A, B, AB, and O
32
What is unique to the ABO blood groups?
presence in the plasma of preformed antibodies called agglutinins
33
What do agglutinins do?
Act against RBCs carrying ABO antigens that are not present on a person's own red blood cells.
34
What do type A individuals always have?
have anti-B antibodies in their plasma
35
What do type B individuals have?
plasma anti-A antibodies
36
What do typeAB individuals have ?
neither anti-A nor anti-B antibody
37
What do type O individuals have?
Both Anti-A and Anti-B anyibodies
38
These antierythrocyte antibodies are called?
Natural antibodies. • A newborn lacks these antibodies, but they begin to appear in the plasma within two months and reach adult levels between 8 and 10 years of age.
39
What does the The Rh blood group system consist of?
49 defined blood group antigens, among which the five antigens D, C, c, E, and e are the most important.
40
What do The terms Rh factor, Rh positive, and Rh negative refer to ?
the Rh(D) antigen only.