Table of contant

Table of contant........................................................................................................................... 1 Background.................................................................................................................................. 2 Mechanism of Hemostasis........................................................................................................... 3 Basic Theory:............................................................................................................................... 3 Principle:...................................................................................................................................... 1.Tools and materials............................................................................................................... 2.Ho! it !orks: ........................................................................................................................ conclusion....................................................................................................................................

Foreword/preface

Background
Time hemorrhage "bleeding time# BT$ is a laboratory test to determine the length of the body to stop bleeding from trauma created by laboratories. This e%amination measures the hemostasis and coagulation. Period bleeding depends upon: ketepat use
2

of tissue fluid in promoting coagulation# capillary blood &essel function and platelets. These checks mainly on platelets# ie the number and the ability to subendothelial tissue adhesion and aggregation to form. Hemostasis is the mechanism to stop and pre&ent bleeding. 'here there is in(ury to the blood &essels# &asoconstriction !ill occur immediately the blood &essels so that blood flo! to the in(ured blood &essels is reduced. Then the platelets to be assembled and attached to the in(ured blood &essel to form a platelet plug. Blood clotting factors are acti&ated to form fibrin threads that !ill make platelet plug into a non)permeable so that bleeding can be stopped.

Mechanism of Hemostasis
1. Primary Mechanism of &asoconstriction of blood &essels in the small !ound. 2. *econdary Mechanism in&ol&ing coagulation factors in plasma and platelets !ith the ultimate goal nets fibrin formation# occurs in a large !ound. 3.Tertiary +ontrol mechanism that pre&ents e%cessi&e hemostasis not do fibrinolytic system.

Basic Theory:
Bleeding time is a rough test of hemostasis "cessation of bleeding$. ,t is sho!s ho! !ell platelets interact !ith blood &essel !alls to form blood clots. Bleeding time is most often used to detect -ualitati&e platelet defects# such as &on 'illebrand disease. This test helps identify people !ho ha&e platelet dysfunction. ,t is the ability of blood to clot after an in(ury or trauma. .ormally# platelets interact !ith blood &essel !alls causing blood clots. There are many factors in the clotting mechanism# and it is initiated by platelets. Test bleeding time or bleeding time is usually used in patients !ho ha&e a history of prolonged bleeding after in(ury# or !ho ha&e a history of bleeding disorders descent. ,n addition# bleeding time test is sometimes performed as a preoperati&e test to determine the response of bleeding that may occur during and after surgery. Ho!e&er# patients !ho did not ha&e a history of bleeding problems# or !ho does not use drugs anti)inflammatory# bleeding time test is usually not necessary. M/TH01 Methods 3

duke 2or the method of 1uke# made in the ear or ears pierced fingertips to cause bleeding. 3s in the ,&y method# the test time of the start of bleeding until the bleeding has completely stopped. 4osses to 1uke method is that the pressure on the &enous blood in the piercing is not constant and the results achie&ed are less reliable. The ad&antage !ith the 1uke method is that no scar remains after the test. 0ther methods can cause scars# small hairline !here the cuts !ere made. Ho!e&er# this is most of the attention cosmetics. There is no special preparation re-uired for this test patient. the area to be pierced should be cleaned !ith alcohol. 3lcohol should be left on the skin long enough to kill the bacteria in the !ound. 3lcohol must be remo&ed before stabbing the arm because alcohol !ill ad&ersely affect the test results by inhibiting clotting.

Principle:
+reated standard !ounds on the ears# bleeding duration until stops noted.

1. Tools and materials

5 1isposable sterile lancet 5 cotton 5 *top 'atch 5 alcohol 678

2. How it works:
1. 1isinfection of the ear !ith an alcohol s!ab 2. +reate the !ound !ith a sterile disposable lancet length of 2 mm in 3 mm. (ust as the blood out run a stop !atch. 3. /&ery 37 seconds the blood sucked out !ith a cotton round but not to touch the !ound . 'hen the bleeding stops# stop the stop !atch and record the time bleeding...

conclusion