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Anti Platelet Pharmacology

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Lecture notes from Anti Platelet drugs lecture. Sunderland Medicine Year. 2

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Anti Platelet Drugs

What are the 3 mechanisms of Haemostasis?

Humoral - clotting factors
Cellular - platelets

Blood vessels - vasoconstriction

What’s the normal value of platelets?

159-450 x10^9\L
Anuclear

What are the 2 types of thrombosis?

Platelets - arterial thrombosis, treated with aspirin and anti platelets
Coagulation - venous thrombosis, treated with warfarin and anticoagulants

Describe the actions of platelets
Adhesion - stick to damaged tissue, sub endothelial collagen

Shape change - patch up damaged tissue
Release Reaction - stored mediators from granules, Dense granules(ADP, ATP),
alpha granules(fibrinogen)

Aggregation - fibrinogen cross links

Promote coagulation - surface phosphatidyserine, thrombin generation

How is the effectiveness of platelets measured?
Optical aggregometry - amount of light that travels thru the reactive solution

How does fibrinogen interact with platelets?

Fibrinogen has a high affinity with integrin AB on platelet surface when the
platelets are activated

This causes agggregation and forms a thrombus

What can activate platelets?

Collagen

ADP


Anti Platelet Drugs 1

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