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10 Cards in this Set

  • Front
  • Back
4 steps of hemostasis
(1) vasoconstriction
(2) platelet plug
(3) fibrin mesh (thrombus formation)
(4) dissolution of clot by plasmin
most important control of hemostasis
concentration of active thrombin
2 modes of thrombin regulation
(1) regulation of prothrombin to thrombin conversion

(2) inactivation of thrombin by anti-thrombin III
2 Vitamin K antagonists
Dicoumaral, Warfarin

(structural analogs of vit. K)
Role of Vitamin K in hemostasis
required for synthesis of activatable prothrombin

-facilitates gamma-carboxylation of Glu residues near prothrombin NH2 terminal
Describe the role of Ca2+ in hemostasis
gamma-carboxyglutamate (Gla) of prothrombin binds Ca2+. Ca2+-binding anchors prothrombin to phospholipid membranes, bringing it close to its activiting factors, Xa and Va
Serpins
Serine Protease Inhibitors, e.g.: Anti-thrombin III
HEPARIN

-structure
-function regarding hemostasis
glycosaminoglucan

binds anti-thrombin III and enhances its activity
2 key roles of thrombin
platelet activation - makes them sticky

conversion of fibrinogen to fibrin--> mesh
6 enzymes that function to maintain reduced atomsphere in RBCs
MetHb reductase
superoxide dismutase
glutathione peroxidase
glutathione reductase
G6PD
DPG mutase