Platelets are cell fragments that help form blood clots to prevent or stop bleeding. They are produced through fragmentation of large bone marrow cells called megakaryocytes. Platelets contain granules with substances important for coagulation like fibrinogen and ADP. Platelets circulate freely but activate and aggregate at sites of injury to initiate clot formation through hemostasis, a process with 5 stages: vessel constriction, platelet plug formation, coagulation, clot retraction, and clot dissolution. Disorders can cause inappropriate clotting or bleeding due to problems with platelet or coagulation factor production, function, or clearance.
the objectives from this ppt :-
1.Define haemostasis.
2.Describe the main mechanisms that prevent blood loss after an injury.
3.Describe role of platelets in haemostasis.
4.Outline the mechanism of platelet plug formation.
5.Describe the mechanisms of blood coagulation.
the objectives from this ppt :-
1.Define haemostasis.
2.Describe the main mechanisms that prevent blood loss after an injury.
3.Describe role of platelets in haemostasis.
4.Outline the mechanism of platelet plug formation.
5.Describe the mechanisms of blood coagulation.
Bleeding Disorders: Causes, Types, and Diagnosis Dr Medical
ย
https://userupload.net/wxvqfbo7ywqu
A bleeding disorder is a condition that affects the way your blood normally clots. The clotting process, also known as coagulation, changes blood from a liquid to a solid. When youโre injured, your blood normally begins to clot to prevent a massive loss of blood. Sometimes, certain conditions prevent blood from clotting properly, which can result in heavy or prolonged bleeding.
Bleeding disorders can cause abnormal bleeding both outside and inside the body. Some disorders can drastically increase the amount of blood leaving your body. Others cause bleeding to occur under the skin or in vital organs, such as the brain.
Bleeding Disorders: Causes, Types, and Diagnosis Dr Medical
ย
https://userupload.net/wxvqfbo7ywqu
A bleeding disorder is a condition that affects the way your blood normally clots. The clotting process, also known as coagulation, changes blood from a liquid to a solid. When youโre injured, your blood normally begins to clot to prevent a massive loss of blood. Sometimes, certain conditions prevent blood from clotting properly, which can result in heavy or prolonged bleeding.
Bleeding disorders can cause abnormal bleeding both outside and inside the body. Some disorders can drastically increase the amount of blood leaving your body. Others cause bleeding to occur under the skin or in vital organs, such as the brain.
This is the power point that explains about the blood and blood cells. Power point describes about the mechanism of coagulation and defense cells of our circulatory system.
Hello Docs ! My name is Maharshika It's my small presentation on hemorrhagic syndromes, hemostasis and It's Disorder i hope you guys likes it. Please like it and share it and keep studying ๐
Platelets
Disc-shape cell fragment with no nucleus
Platelets are the cell fragments pinched off from megakaryocytes in red bone marrow
Platelets are important in preventing blood loss
Platelet plugs
Promoting formation and contraction of clots
Platelets--Life History
Platelets form in bone marrow by following steps:
myeloid stem cells eventually become megakaryocytes whose cell fragments form platelets.
Short life span (5 to 9 days in bloodstream)
They are formed in bone marrow.
They remain few days in circulating blood.
Aged ones are removed by fixed macrophages in liver and spleen.
Normal count: 2-4 lacs per mm3 of blood.
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Nursing Care of Clients with Hematologic Problems Part 2 of 2 : Thrombocytes (Platelets)
1. Platelets
PREPARED BY:
MARIA CARMELA L. DOMOCMAT, RN, MSN
2. Platelets (Thrombocytes)
o Platelets are not complete cells, but fragments of
large cells called megakaryocytes.
o very small, colorless cell fragments (2-4 microns in
diameter)
o enclosed in a membrane but have no nucleus and
cannot reproduce
o have mitochondria and enzyme system (enzyme โ
needed for synthesis of prostaglandin)
3. o contains 2 types of granules
alpha (ฮฌ)granules
โข express P-selection on their surface:
contains fibrinogen, fibronectin, factors V
and VIII, platelet factor 4 (heparin-binding
chemokine), platelet-derived growth factor
(PDGF), transforming growth factor-alpha
(TGF- ฮฌ)
gamma (ฮด)granules or dense granules
โข contain ADP and ATP, ionized calcium,
histamine, epinephrine
4. o must be adequate in number and
function in order to participate
optimally in hemostasis
o normally circulate as individual
cell-like structure, not attached
to each other, suspended in plasma,
and do not clump together until
activated
5. Functions
o help to prevent or stop bleeding, a
process called hemostasis
o Initiate contraction of damaged blood
vessels to minimize blood loss
o Form hemostatic plugs in injured blood
vessels to help stop bleeding
o Along with plasma, they provide
materials that accelerate blood clot
formulation, or coagulation
7. Formation
bud off from megakaryocytes
giant multinucleate bone marrow cells derived from the
myeloid stem cell line
stem cell
Hemotocytoblast
Megakaryoblast
Promegakaryocyte
Megakaryocyte
megakaryocyte: large multilobed nucleus
platelets
platelets: anucleated parts of megakaryocyte cytoplasm
8.
9. o develop by endomitosis
o Formation of platelets involves repeated mitoses
of megakaryocytes without cytokinesis.
Megakaryocytes undergo mitosis but not
cytokinesis thus cell does not divide
into 2 daughter cells
โข Without cytokinesis โ cell does not divide into
2 daughter cells but expands to accommodate the
doubling of its DNA (nuclear) content and
breaks up into fragments known as platelets
10.
11. Blood Components: Platelets
Coagulate, form plug, prevent blood loss
Formed by fragmentation from megakaryoctyes
Figure 16-10c: Megakaryocytes and platelets
12. o newly formed platelets that are
released from bone marrow spend up
to 8 hours in the spleen before
being released into the blood
o Life Span: 10 days
13. Regulators Of Platelet Production
includes:
โข GM-CSF (granulocyte-macrophage colony-
stimulating factor)
โข Thrombopoietin
o source: kidney, liver, smooth muscle, bone
marrow
production and release is regulated
by the number of platelets in
circulation
stimulate committed cells and further
stages of differentiation
14. Destruction (Hemolysis)
o Senescent platelets โ phagocytosed
by neutrophils and monocytes if
circulating freely
If part of thrombus or clot - phagocytosed
by neutrophils and macrophage
Can be removed also by tissue macrophages of
the MPS (mononuclear phagocyte system) in
the liver or spleen
16. Hemostasis
Refers to the stoppage of bloodflow
โข Designed to maintain integrity of
vascular compartment
โข Normal
โข when it seals a blood vessel to prevent blood
loss and hemorrhage
โข Abnormal
โข when it causes inappropriate blood clotting
or when clotting is insufficient to stop the
flow of blood from the vascular compartment
17. Control of hemostasis
o Endothelium โ major site of hemostasis
o Despite the continual presence of
clotting factors and platelets in
circulation, blood normally remains
fluid
o 2 properties of normal vascular
endothelium prevent clotting
Smooth texture of endothelial lining
Negative charge of protein in endothelial cells
โ which repel some negatively charged platelets
if clotting factors
19. Damage to small blood vessels and capillaries
frequently occurs. When these vessels are damaged,
there are 5 basic mechanisms that promote
hemostasis or the stoppage of bleeding
20. 5 stages of Hemostasis
1.Vessel or vascular spasm -
(vasoconstriction at injured site)
2.Formation of the platelet plug
(plugging the hole)
3.Blood coagulation or development of an
insoluble fibrin clot (blood clotting
- complex mechanism)
4.Clot retraction
5.Clot dissolution
21.
22. 5 stages of Hemostasis
1.Vessel or vascular
spasm(vasoconstriction at injured
site)
23. (1) Blood Vessel Spasm
โข triggered by pain receptors, platelet release, or serotonin
โข smooth muscle in vessel contracts
24. 5 stages of Hemostasis
1.Vessel or vascular spasm
2.Formation of the platelet plug
(plugging the hole)
25. (2) Platelet Plug Formation
โข triggered by exposure of platelets to collagen
โข platelets adhere to rough surface to form a plug
31. 5 stages of Hemostasis
1.vascular spasm
2.platelet plug
3.Blood coagulation or development of an
insoluble fibrin clot (blood clotting
- complex mechanism)
32. (3) Blood Coagulation
โข triggered by cellular damage and blood contact with foreign
surfaces
โข blood clot forms
40. Dissolving the Clot and Anticoagulants
Bleeding stopped
Vessel repair
Plasmin
Fibrinolysis
Clot dissolved
41. Dissolving the Clot and Anticoagulants
Figure 16-14: Coagulation and fibrinolysis
42.
43.
44.
45. Prevention of Coagulation
โข The smooth lining of blood vessels discourages the accumulation
of platelets
โข As a clot forms, fibrin absorbs thrombin and prevents the reaction from
spreading
โข Antithrombin interferes with the action of excess thrombin
โข Some cells secrete heparin
14-32
46. Coagulation and Disease
Hemophilia
Cardiovascular Diseases
Key problem โ clots block undamaged blood vessels
Anticoagulants prevent coagulation
Keep platelets from adhering
Prevent fibrin coagulation
"Clot Busters": Prevent further clotting
Speed fibrinolysis
Limit tissue damage (heart, brainโฆ)
47. Factor Function Coagulation disorders in children Incidence
I: Fibrinogen Afibrinogenemia, 0.1 x 106
hypofibrinogenemia
II: Prothrombin Hypoprothrombinemia 0.1 x 106
III: Tissue thromboplastin
IV: Calcium divalent cation; a cofactor for most of the enzyme-
activated processes required in blood coagulation;
enhances platelet aggregation and makes RBCs clump
together
V: Proaccelerin Parahemophilia, Factor V 0.1 x 106
deficiency
VI: discovered to be an No factor VI is involved in coagulation -
artifact
VII: Proconvertin Factor VII deficiency 0.1 x 106
VIII: Anithemophilic combined with von Willebrands factor help platelets Hemophilia A, von Willebrand 30-40 x 106
adhere to capillary walls in areas of tissue injury disease
IX: Plasma thromboplastin essential in common pathway between intrinsic and Hemophilia B 3-4 x 106
component (Christmas extrinsic clotting cascades
factor
X: Stuart-Power factor Factor X deficiency 0.1 x 106
XI: Plasma thromboplastin Hemophilia C, PTA deficiency 0.1 x 106
antecedent (PTA)
XII Hageman factor critically important in intrinsic pathway Hageman trait 0.1 x 106
XIII Fibrin-stabilizing assist in forming links among fibrin threads to form a Factor XIII deficiency 0.1 x 106
factor strong fibrin clot
52. Two main categories of disorders
of hemostasis
1. Inappropriate formation of clots
within the vascular system (i.e.,
thrombosis)
2. Failure of blood to clot in
response to an inappropriate
stimulus (i.e., bleeding)
55. Clotting Disorders
Coagulation disorders result from
defects in the clotting cascade or
fibrinolytic process. These
disorders may be inherited or
acquired
a. Hemophilias
b. Von Willebrand disease
c. Disseminated intravascular coagulation
(DIC)