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Both mechanisms converge via factor X into a common final pathway. The clotting factors are protein molecules. “Activation” mostly means proteolysis (cleavage of protein fragments) and, with the exception of fibrin, conversion into protein-hydrolyzing enzymes (proteases). Some activated factors require the presence of phospholipids (PL) and Ca2+ for their proteolytic activity.
Thus, typical adverse effects occur: Loss of hair results from injury to hair follicles; gastrointestinal disturbances, such as diarrhea, from inadequate replacement of enterocytes whose life span is limited to a few days; nausea and vomiting from stimulation of area postrema chemoreceptors; and lowered resistance to infection from weakening of the immune system .

 

This allows brief procedures to be carried out or to prepare the patient for inhalational anesthesia (intubation). Administration of the volatile anesthetic must then be titrated in such a manner as to counterbalance the waning effect of the injectable agent.
Muscle aches and pains, headache. Antipyretic analgesics are effective in relieving these symptoms. IgE-mediated allergic reactions involve mast cell release of histamine and production of other mediators (such as leukotrienes).

 

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