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WorksheetsSecondary Hemostasis part 1
Total questions: 18
Worksheet time: 9mins
Requires Factors V, VIII, XIII (can be considered cofactors). The whole group is I, V, VIII, and XIII).
Consumed during clotting (present in plasma, not in serum)
Fibrinogen Group
Prothrombin Group
Contact Group
II, VII,IX, X
Vitamin K dependent
Not consumed during clotting (present in plasma and serum, except Factor II)
Stable and well‑preserved in stored plasma
Precipitated with barium sulfate – absent in this “adsorbed plasma”
Synthesized in liver
Fibrinogen Group
Prothrombin Group
Contact Group
XI, XII, HMWK, PK
Activated upon contact
Not consumed during clotting (present in plasma and serum)
Fairly stable
Fibrinogen Group
Prothrombin Group
Contact Group
when activated by thrombin it is converted to fibrin which forms the clot
Fibrinogen group
Fibrinogen assay (measured in mg/dL: 200-400)
Factor I - Fibrinogen
Factor II (Prothrombin)
TISSUE THROMBOPLASTIN
Ionized calcium
-it is converted to thrombin
by the prothrombinase complex (Xa, Va, PF3, and Ca ++)
splits fibrinogen , stimulates platelet aggregation, and activates co-factors and protein C
Factor I - Fibrinogen
Factor II (Prothrombin)
TISSUE THROMBOPLASTIN
Ionized calcium
- Formerly known as Factor III
cofactor found in tissue which activates the extrinsic pathway and factor VII
found in most body tissues and particularly high levels found in the brain and lungs
Factor I - Fibrinogen
Factor II (Prothrombin)
TISSUE THROMBOPLASTIN
Ionized calcium
formerly factor IV
functions mainly as a bridge between the PL surface of platelets and several coagulation factors
necessary for many steps in coagulation
Measured in Chemistry using serum or heparinized plasma (can use ISE)
Factor I - Fibrinogen
Factor II (Prothrombin)
TISSUE THROMBOPLASTIN
Ionized calcium
–speeds the transformation of prothrombin to thrombin
FACTOR V (PROACCELERIN)
FACTOR VII (PROCONVERTIN)
FACTOR VIII (ANTIHEMOPHILIC FACTOR A)
FACTOR IX (CHRISTMAS FACTOR)
sensitive to coumadin drugs
activated by tissue thromboplastin
activates factor X
FACTOR V (PROACCELERIN)
FACTOR VII (PROCONVERTIN)
FACTOR VIII (ANTIHEMOPHILIC FACTOR A)
FACTOR IX (CHRISTMAS FACTOR)
VIII/vWf (factor VIII complex) is the total factor VIII molecule
VIII:C is the active portion of the molecule which functions in the clotting process
FACTOR V (PROACCELERIN)
FACTOR VII (PROCONVERTIN)
FACTOR VIII (ANTIHEMOPHILIC FACTOR A)
FACTOR IX (CHRISTMAS FACTOR)
vWf:Ag is the subunit capable of antibody production that binds to endothelium and helps in normal platelet adhesion and function (primary hemostasis)
FACTOR V (PROACCELERIN)
FACTOR VII (PROCONVERTIN)
FACTOR VIII (ANTIHEMOPHILIC FACTOR A)
FACTOR IX (CHRISTMAS FACTOR)
Becomes activated by combining with the PL(PF3) surface of the platelet in the presence of Ca++ to then activate factor X
FACTOR V (PROACCELERIN)
FACTOR VII (PROCONVERTIN)
FACTOR VIII (ANTIHEMOPHILIC FACTOR A)
FACTOR IX (CHRISTMAS FACTOR)
•Test 5M urea solubility
FACTOR XIII (FIBRIN STABILIZING FACTOR)
PREKALLIKREIN (FLETCHER FACTOR)
HIGH MOLECULAR WEIGHT KININOGEN (FITZGERALD FACTOR)
Vitamin K dependent
II, VII, IX, X
V, VIII
I, II, V, VII, VIII, XIII
II, VII, IX, X, XI, XII
Labile
II, VII, IX, X
V, VIII
I, II, V, VII, VIII, XIII
II, VII, IX, X, XI, XII
Consumed in the clot
II, VII, IX, X
V, VIII
I, II, V, VII, VIII, XIII
II, VII, IX, X, XI, XII
serine proteases
II, VII, IX, X
V, VIII
I, II, V, VII, VIII, XIII
II, VII, IX, X, XI, XII
converted to kallikrein, a serine protease that connects the coagulation pathways to fibrinolysis with the help of factor XIIa in the presence of HMWK
Adsorbs onto the surface of the vessel
FACTOR XIII (FIBRIN STABILIZING FACTOR)
PREKALLIKREIN (FLETCHER FACTOR)
HIGH MOLECULAR WEIGHT KININOGEN (FITZGERALD FACTOR)
