Hemostasis conclusion
When blood vessel defect has healed, fibrinolytic pathway is activated to dissolve the clot
Thrombolytic drugs MOA
Increase conversion plasminogen -> plasmin
Plasmin degrades fibrin and dissolves clot
Indications for thrombolytic therapy
Acute MI
Acute ischemic thrombotic stroke
PE
Tissue plasminogen activators (t-PA)
Alteplase
Reteplase (faster onset)
Tenecteplase (longer duration of action)
Anti-fibrinolytic agents
Used to stop bleeding from thrombolytic drugs
Tranexamic acid
Aminocaproic acid (EACA)
Lysine