Chapter 3: Biochemistry Flashcards
What is the main intracellular buffer?
proteins
What is the main extracellular buffer?
bicarb
Main protein of RBC?
hemoglobin
Which Amino Acid is responsible for kinks, turns, twists and bends? hair, GI, blood vessels, etc.
proline
What crosses membranes easier, acid or base?
base, because it is neutral (no charge)
Are most drugs weak acid or weak base?
weak acid
What does dissociate mean?
to lose a hydrogen or a proton; charged or polar, water soluble
What does bioavailable mean?
neutral, fat-soluble
Is a dissociated acid charged or neutral?
charged
Is a dissociated base charged or neutral?
neutral
What is the best buffer in human body? why?
Histidine because its pKa is closest to 7.4
Why should you take tetracyclines and quinolones on an empty stomach?
They are acids and if in a more acidic environment, will be absorbed more and will be more effective. If taken with food, more basic and will not absorb.
Why shouldn’t aspirin be taken with orange juice only?
Asprin is acidic and will absorb more in an acidic environment; too much absorption will be toxic and may lead to cinchonism.
If a person ingests a weak acid by accident what should we give them?
give a base i.e. milk
If a person ingests a weak base by accident what should we give them as first aid?
give a weak acid–juice
If a person accidently ingests a strong acid or strong base?
cannot give acid/base; instead dilute the concentration gradient by drinking water
The half life of a water soluble drug?
low; that’s why we administer it more than once a day
The half life of a fat soluble drug?
high; that is why we can administer it at longer intervals
What do you give for aspirin overdose?
Sodium bicarb
What do you give for barbituate overdose?
fluids and bicarb (fluids for dilutional and bicarb to make pee out)
When can a person have rhabdomyolysis?
Crush injury, statin use, staph scalded syndrome
How to treat rhabdomyolysis?
bicarb first then fluids
6 main actions of TCA
1.Antidepressant (blocks reuptake of catecholamines)
2.Anticholinergic (hot and dry)
3. blocks Alpha 1–causing vasodilation, BP drops but sometimes can rise
4.blocks Na channels in ventricle
5. blocks AV conduction (slow HR)
6. antihistaminic
Which drug increase the duration of chloride channel opening and enhancing GABA effects?
barbituates
Which drug increases the frequency of chloride channel opening and enhancing GABA effects?
benzodiazepine
amphetamine overdose sign
vertical/rotary nystagmus
amphetamine OD first aid
give an acid (juice, cola)