Effect Of Liver Dysfunction Flashcards

1
Q

Which cytochrome does metabolism occur in

A

CYP450 located in hepatocytes

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2
Q

Why is blood flow through the liver reduced in cirrhosis?

A

There is increased vascular resistance affecting drug transportation and metabolism

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3
Q

How does cirrhosis decrease plasma protein binding

A

Decrease albumin and alphas acid glycoprotein synthesis
Accumulation of bilirubin inhibiting plasma protein binding
Changes in albumin and alpha acid glycoprotein structure

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4
Q

Why is there a weak CYP450 system in a cirrhotic liver?

A

There is a lack of oxygen, due to lack of oxygen and drug uptake

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