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NRSG 2350 Exam 2 Study Guide: Key concepts and Notes

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This document contains comprehensive materials for NRSG 2350 Exam 2. It includes a study guide that cover essential topics such as cardiovascular system, respiratory care, patient safety. Organized for clarity and efficiency, this material is ideal for exam preparation and NCLEX-style review. It condenses critical information into a clear, concise format for easier studying.

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Uploaded on
December 22, 2025
Number of pages
68
Written in
2025/2026
Type
Lecture notes
Professor(s)
Tina ralyea
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Aight Summary of All the Sexy Fun Things :)
Hematology

Virchow’s Triad

Three primary factors contribute to thrombosis (clot formation):

1.​ Endothelial Injury – Damage to the vessel lining (from
trauma, surgery, or inflammation) exposes collagen and
triggers platelet adhesion.​

2.​ Stasis of Blood Flow – Slow or stagnant flow (as in
immobility, varicose veins, long flights) allows clotting factors
to accumulate.​

3.​ Hypercoagulability – An increased tendency for the blood to
clot due to genetics, pregnancy, medications (like oral


contraceptives), or malignancy.​
Stands Out: Injury + Stasis + Sticky Blood = Clot Risk ↑.


Hemostasis
The body’s process to stop bleeding and maintain vessel integrity. It
occurs in three main steps:

1.​ Vascular Constriction – Injury triggers vasospasm to reduce
blood flow.​

2.​ Platelet Plug Formation – Platelets adhere to the damaged site via
von Willebrand Factor (VWF) and release ADP, recruiting more
platelets (#PutAPatchOnIt).​

, 3.​ Coagulation Cascade – A series of clotting reactions converting
fibrinogen → fibrin, forming a stable clot. Requires calcium &


vitamin K.​
Stands Out: Platelets start it → fibrin seals it.


Factors Leading to Clot Formation Venous Stasis: Pooling blood in low-pressure veins (legs) from
immobility or weak calf-muscle pumping.​

Hypercoagulability: From cancer, pregnancy, or meds like oral
contraceptives.​

Vascular Injury: Seen in atherosclerosis or diabetes; the body


responds by forming clots.​
Stands Out: Stasis + Sticky Blood + Vessel Damage =
Perfect Storm for Clots.

Fibrin / Lysis Once a clot has done its job, it must dissolve. Within 24–48 hours, tPA
(tissue plasminogen activator) converts plasminogen → plasmin, which


digests fibrin strands and restores circulation.
Stands Out: tPA = Clot Buster; Plasmin = Fibrin Eraser.


Disorder of Hemostasis: formation of too many clots (inappropriate clot formation)


Thrombosis + risk factors? Thrombosis: Formation of a clot inside a vessel → blocks flow
(commonly legs = DVT).
Risks: Immobility, pregnancy, malignancy.
Risk Factors: immobility, pregnancy, malignancy
Hypocoagulation: evidence of clots/ thrombosis

,Embolism

When a clot breaks free and travels to another site (heart, lungs, brain).
Stands Out: Thrombosis = stationary clot; Embolism = traveling
clot.




Clotting Factors! Clotting Cascade

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