block 3 lecture 3 drugs in the gut Flashcards

1
Q

what is an antagonist?

A

interferes with a physiological process

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2
Q

what is an agonist?

A

binds to a receptor to enhance or make something happen

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3
Q

what is a peptic ulcer?

A

damage to the mucosal layer, stomach acid comes into contact with the epithelium, creating disruption to the underlying tissue

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4
Q

what type of ulcer is caused by quick pain after eating?

A

stomach ulcer

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5
Q

what type of ulcer is caused by delayed pain?

A

digestive tract ulcer

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6
Q

symptoms of a stomach ulcer?

A

pain, bleeding, indegestion, heartburn, vomitting

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7
Q

where are the secretons required by the stomach produced?

A

gastric glands

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8
Q

process of HCL secretion?

A

H2 receptor are stimulated, which activates adeny cyclase to produce CAMP, this activates a protein kinase signalling cascade, the proton pump is recruited to the surface, protens are pumped into the lumen and potassium is pumped into the cell

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9
Q

what does carbonic anhydrase do in the process of HCL secretion?

A

combines carbon dioxide and water to produce carbonic acid

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10
Q

how are protons produced for HCL?

A

a hydrogen is removed from carbonic acid to produce bicarbonte ons

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11
Q

what is the alkaline tide?

A

build up of bicarbonat ions in the blood due to HCL secretion

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12
Q

what is the bacteria that causes stomach ulcers?

A

helicobacter pilori

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13
Q

what is the other cause of stomach ulcers other than bacterial?

A

NSAIDs

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14
Q

how do the bacteria cause peptic ulcers?

A

they induce inflammation which damages the stomach lining

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15
Q

what are the pharmacological targets of stomach ulcers?

A

bacterium, prostoglandin secretion, histamine secretion, HCL secretion

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16
Q

what protects proton pump inhibitors from stomach acid?

A

bicarbonate coat or prodrugs

17
Q

where do proton pump inhibitors target?

A

parietal cells

18
Q

how does aspirin work in the stomach?

A

cox produce prostoglandins which influence gastric mucous secretion

19
Q

what are the two areas which induce vomiting?

A

vomiting center and the chemoreceptor trigger zone

20
Q

is the CTZ found inside or outside the blood brain barrier?

A

no

21
Q

is the vomiting center found inside or outside the blood brain barrier?

A

yes