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By the end of this section, you will be able to:
  • Describe the three mechanisms involved in hemostasis
  • Explain how the extrinsic and intrinsic coagulation pathways lead to the common pathway, and the coagulation factors involved in each
  • Discuss disorders affecting hemostasis

Platelets are key players in hemostasis    , the process by which the body seals a ruptured blood vessel and prevents further loss of blood. Although rupture of larger vessels usually requires medical intervention, hemostasis is quite effective in dealing with small, simple wounds. There are three steps to the process: vascular spasm, the formation of a platelet plug, and coagulation (blood clotting). Failure of any of these steps will result in hemorrhage    —excessive bleeding.

Vascular spasm

When a vessel is severed or punctured, or when the wall of a vessel is damaged, vascular spasm occurs. In vascular spasm    , the smooth muscle in the walls of the vessel contracts dramatically. This smooth muscle has both circular layers; larger vessels also have longitudinal layers. The circular layers tend to constrict the flow of blood, whereas the longitudinal layers, when present, draw the vessel back into the surrounding tissue, often making it more difficult for a surgeon to locate, clamp, and tie off a severed vessel. The vascular spasm response is believed to be triggered by several chemicals called endothelins that are released by vessel-lining cells and by pain receptors in response to vessel injury. This phenomenon typically lasts for up to 30 minutes, although it can last for hours.

Formation of the platelet plug

In the second step, platelets, which normally float free in the plasma, encounter the area of vessel rupture with the exposed underlying connective tissue and collagenous fibers. The platelets begin to clump together, become spiked and sticky, and bind to the exposed collagen and endothelial lining. This process is assisted by a glycoprotein in the blood plasma called von Willebrand factor, which helps stabilize the growing platelet plug    . As platelets collect, they simultaneously release chemicals from their granules into the plasma that further contribute to hemostasis. Among the substances released by the platelets are:

  • adenosine diphosphate (ADP), which helps additional platelets to adhere to the injury site, reinforcing and expanding the platelet plug
  • serotonin, which maintains vasoconstriction
  • prostaglandins and phospholipids, which also maintain vasoconstriction and help to activate further clotting chemicals, as discussed next

A platelet plug can temporarily seal a small opening in a blood vessel. Plug formation, in essence, buys the body time while more sophisticated and durable repairs are being made. In a similar manner, even modern naval warships still carry an assortment of wooden plugs to temporarily repair small breaches in their hulls until permanent repairs can be made.

Coagulation

Those more sophisticated and more durable repairs are collectively called coagulation    , the formation of a blood clot. The process is sometimes characterized as a cascade, because one event prompts the next as in a multi-level waterfall. The result is the production of a gelatinous but robust clot made up of a mesh of fibrin    —an insoluble filamentous protein derived from fibrinogen, the plasma protein introduced earlier—in which platelets and blood cells are trapped. [link] summarizes the three steps of hemostasis.

Questions & Answers

elasticity of the vagina
Mariam Reply
The vagina is an elastic muscular wall
antouman
*organ
antouman
how can you remember the integumentary system
Naomi Reply
integumentary system is the skin the skin is protection all the body and contain deid cells
Drs
how can you remember the formation of bone?
Maame
the largest organ of the body
Toni
skin is largest organ
Zara
what is the best way to remember the cranial bones or any other bones ?
Savannah
skeletal system?
Savannah
look at the diagram structure and then remember it considering it your own body i memorise like that
Zara
hi guys! do you have to remember ALL the structures of the bones- I mean every single hole, depression or tuberosity?
Kristina
tuborisity
Zara
hey guz i hv to remember Immune antibodies and antigens how? i found it difficult
Zara
well, they are all grouped, aren't they? I mean they all come in series like H1, H2A, H2B and so on. In this case I learn the common part first and then that what's different
Kristina
nd what about IgG , IgE etc.
Zara
the majors
Toni
blood is a connective tissue which transport oxygen and other nutrients to body
Zara Reply
which type of protein is blood?
Zara
what is blood?
Masthan Reply
blood is a connective tissue which transport oxygen and nutrients to body
Zara
which type of protein is blood?
Zara
haemoglobin
Rashid
and what about its structure i think its Quartenary structure 🤔💭
Zara
yes it is
Rashid
it is globular
Rashid
a vascular structure compose of vessels.
Toni
what is the functions of lymph
moula Reply
what is plasma
Chukwu Reply
A plasma is a hot ionized gas consisting of approximately af a equal number of positive ly charged ionized and negative ly charged electron is called plasma.
Muhammad
what is an atomical position?
Madinatu
military position, body erect where by the body will be up straight..the cephalic and thoracic are straight
Mwita
functions of plasma membrane
Dinyando Reply
what is heparin
Lawrence Reply
why is it anatomy
Tenacious Reply
hello
ASIMENU
hi
asare
hws life
Tenacious
anatomy is the scientific study of the body's structure
Lawrence
great
Lawrence
good night
Kaaya
anatomy is the study of form, physiology is the study of function
Patrick
anatomy is the study of the structure of the body and the physical relationship between it constituent part
Florence
what is heparin
Lawrence
what is the trunk
Tenacious
trunk is define as a person's or animal's body apart from the limp and head
Lawrence
The trunk is part of the axial skeleton
Patrick
hellow friends
mickson
hi friends
mickson
Hi
REEMA
hii
sampath
hi
Inayat
am fine
Ematai
supine or dorsal position is used in clinical setting when patient is placed in position, to examine what?
Dinyando Reply
what do nurses/doctors detect when a patient is placed on dorsal position?
Dinyando
What is coroid process?
kelvin Reply
describe special situation with implications in medical ethics.
kelvin
what is the difference between anatomy and physiology
Dinyando Reply
anatomy is the study of human body . and physiology is the study of the brain
Maryiam
ok
Varun
hi friends
Varun
hi!
kelvin
hello
Maryiam
anatomy is the study of the human body,its form and it physical relations Whiles Physiology is the Study of the functions of the various part of the body
Madinatu
yes
Yeboah
hi friends
mickson
sorry I cant see the full question
Jessica Reply
what was the question?
evelyna
what is spine as a bone marking?
John
similar to a crest but raised more
evelyna
pointed process
evelyna
slender
evelyna
pointed projection i meant
evelyna
what fills the hallow space in the middle of bones? thanks
John
marrow
evelyna
bone marrow
evelyna
hey you gotta read a book
evelyna
i just happen to take this bone chapter in my book last week so i remember
evelyna
yeah i should. how about the correct match of the number of tarsal, metatarsal and phalanges?
John
10, fingers and toes, u know this
Patrick
what is the difference between basal laminal and basal membrane
Nartey Reply
I think they r the same
Patrick
If one is missing the opsin which detects wavelengths of approximately 560 nm what color would they be unable to see?
Alicia Reply

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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