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  1. Fibrin clots must be broken down after their job is done, and fibrinolysis is also a complex process with checks and balances. In the end, plasminogen is activated to plasmin, which breaks down fibrin polymers (Fig. 16-4: The mechanism and regulation of fibrinolysis).
  2. Inhibition of fibrinolysis (see Fig. 16-4: The mechanism and regulation of fibrinolysis).

Outline

Hemostasis and Transfusion Medicine

  1. Hemostasis and Coagulation
  2. Fibrinolysis
  3. Laboratory Evaluation of Hemostasis
  4. Laboratory Evaluation of Primary Hemostasis
  5. Laboratory Evaluation of Secondary Hemostasis and Coagulation
  6. Diagnosis of Thromboembolic Disorders
  7. Monitoring Anticoagulation Therapeutic Agents
  8. Blood Component Production
  9. Blood Products and Transfusion Thresholds
  10. Physiologic Compensation for Anemia
  11. Platelets
  12. Fresh Frozen Plasma
  13. Cryoprecipitate
  14. The Risks of Blood Product Administration
  15. Blood Conservation Strategies
  16. Disorders of Hemostasis: Diagnosis and Treatment
  17. Anticoagulation and Pharmacologic Therapy
  18. Prothrombin Complex Concentrates
  19. Desmopressin
  20. Antifibrinolytic Therapy