Tiglao, Carmina Joy C. MT 4A H.

Education

Health Education
TOPIC : Overview to Secondary Hemostasis NOTES: SLIDE NO. 1.0 : * Only for Majority are Visual Learners
y y y Greetings to students. Assigned prayer leader will be leading the prayer. Play the video file.

SLIDE NO. 1.1: Overview of Secondary Hemostasis (Title)

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(TXDO1XPEHURI/HDUQHUV Greetings to students. Assigned prayer leader will be leading the prayer. Group Work PINOY-HENYO Game In this slide, I will group students randomly and ask 2 volunteer from each group to do the traditional PINOY-HENYO GAME. The selected term that will be guessed are from the topics that was previously discussed (related to this current topic, to be later on be discussed) and let his/her groupmates do the guessing. Number of terms guessed within 2 minutes will be the winner. REWARD : Reveal later Ask students what have they learned in the previous discussion of hemostasis? If someone has an idea, ask questions which correlate to his/her answer to arrive at the main point. Hemostasis term for normal functioning of the circulatory system which is made up of chemical compounds that prevents inappropriate formation of clot in intact blood vessel. 0DMRULW\DUH.LQHVWKHWLF/HDUQHUV Greetings to students. Assigned prayer leader will be leading the prayer. CHARADE GAME Ask a volunteer from the class, ask him/her to act out PLATELETS. Let his/her classmates guess what the word is. Ask students why do they think PLATELETS is essential in the body s hemostasis? If someone has an idea, ask questions which correlate to his/her answer to arrive at the main point.

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Hemostasis term for normal functioning of the circulatory system which is made up of chemical compounds that prevents inappropriate formation of clot in intact blood vessel.

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0DMRULW\DUH9LVXDO/HDUQHUV Ask what do they think about the video shown? Why do they think its relevance? If someone has an idea, ask questions which correlate to his/her answer to arrive at the main point. Connect all the Points raised by the students and arrived at a brief introduction for the current topic. Hemostasis term for normal functioning of the circulatory system which is made up of chemical compounds that prevents inappropriate formation of clot in intact blood vessel. 0DMRULW\DUH$XGLWRU\/HDUQHUV

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Greetings to students. Assigned prayer leader will be leading the prayer Ask students what do they think of if they hear the word hemostasis? If someone has an idea, ask questions which correlate to his/her answer to arrive at the main point. Hemostasis term for normal functioning of the circulatory system which is made up of chemical compounds that prevents inappropriate formation of clot in intact blood vessel.

SLIDE NO. 2: Learning Objectives

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SLIDE NO. 3 : 3 Hemostatic Components

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y y Our body is made up of hemostatic components which do allow the normal functioning of our circulatory system. Blood vessels extravascular ; consist of veins, arteries and capillaries.

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Platelets - vascular ; thrombus ; important in clotting process. Recall : Ask to the students the Stages of Thrombopoiesis. (Megakaryoblast, Promegakaryocyte, Megakaryocyte, Platelets) The Amount/Size of Megakaryocyte = # of Platelets CF (coagulation factors) Plasmin Active form of plasminogen ; conversion due to the action of serine protease. - Facilitates Fibrinolysis

SLIDE NO. 4 : 2 Phases of Hemostasis

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y y PRIMARY involvement of blood vessels and platelet. SECONDARY - 3 hemostatic components are involved; - Formation and breakdown of CLOT

SLIDE NO. 5 : Normal Hemostasis

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y y y y y y In normal condition, the body is in balance or equilibrium. Discuss the Diagram shown. Ask and let one or two students to repeat and discuss to class the diagram interpretation. Thrombosis clot formation in the blood vessel. Bleeding uncontrollable bleeding due to continued breakdown of clot. Ask students : Based on the reading of the illustration, what would likely be the relationship of the two processes involved? Answer : Indirect Relationship/Inverse Relationship.

SLIDE NO. 6 : Secondary Hemostasis

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y Discuss.

Ask students from time to time the terms that were tackled, to let them put information in their long term memory.

SLIDE NO. 7 : Table of Coagulation Factors

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y y y Discuss this table. Tell students to memorize this table. Let the students take note: a. Pink highlight = Fibrinogen Group ; Ask students to determine the FACTORS included. b. Purple highlight = Contact Group ; Let students determine the CF s here. c. Beige highlight = Prothrombin Group ; Ask them as well. Note : CF III and IV have no group.

SLIDE NO. 8 : Other Information

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y y y y y Discuss what is in the slide. All are synthesized in the liver except CF III,IV and segments in VIII. CF III (Tissue Factor) : synthesized in brain and lungs CF IV (Calcium) : synthesized in cells and fluids in the body. CF VIII: vW (von Willebrand Factor) : synthesized by megakaryocyte and epithelial cells. Other segment of CF VIII is C (calcium) : synthesized by the liver.

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y y y y y y y Discuss this Tell students to memorize this table. Let the students take note: a. Pink highlight = Fibrinogen Group ; Ask students to determine the FACTORS included. b. Purple highlight = Contact Group ; Let students determine the CF s here. c. Beige highlight = Prothrombin Group ; Ask them as well. Note : CF III and IV have no group.

SLIDE NO. 9 : Coagulation Cascade (3 Pathways)

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y y y y Discuss the illustration. Determine the CF that are included in each Pathway (intrinsic, extrinsic, common). Ask if they have questions, clarifications, or wanted to repeat a part in the presentation. CHECK : If no questions, try to ask them the Name of the Coagulation Factors by just stating the Roman Numeral. (Try about 5 CF)

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y y y y y Discuss what is in the slide. All are synthesized in the liver except CF III,IV and segments in VIII. CF III (Tissue Factor) : synthesized in brain and lungs CF IV (Calcium) : synthesized in cells and fluids in the body. CF VIII: vW (von Willebrand Factor) : synthesized by megakaryocyte and epithelial cells. Other segment of CF VIII is C (calcium) : synthesized by the liver.

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y y Listen to the audio file. After, ask random students to go to the board and arrange the magnets labelled with specific CF chronologically, depending on how they have heard it from the audio.

SLIDE NO. 10 : Activities

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With the same group in the PINOY-HENYO Game. AMAZING RACE The Group that won in the PINOY-HENYO and will going to win this amazing race, will be exempted for the NEXT QUIZ.

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Experiment : Coagulation Test

Teacher discusses the method and explains while demonstrating the test for coagulation time.

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y y Watch the video file. Take note of the cycle in coagulation cascade.

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y y Having a videotaped of your own, discussing the Coagulation Cascade. To be passed via e-mail. (this will serve as a quiz)

SLIDE NO. 11 : ACTIVITIES and SEATWORK



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Perform the method that was previously taught. Remind them that next meeting, they ll have an AMAZING RACE about this particular topic.


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Seatwork Illustrate the coagulation cascade in a short bond paper. (To be passed after 20 minutes)