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Heparin (B) A clotting factor is activated when the factor that precedes it in the clotting cascade splits off a protein fragment and thereby exposes an enzymatic center. The latter can again be inactivated physiologically by complexing with antithrombin III (AT III), a circulating glycoprotein. Heparin acts to inhibit clotting by accelerating formation of this complex more than 1000-fold.
Thus, reabsorption of NaCl and water is inhibited. Renal excretion of Ca2+ decreases, that of Mg2+ increases. Indications are hypertension, cardiac failure, and mobilization of edema. |
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