Vitamin K Flashcards

1
Q

Where does vitamin K get its name?

A

Named for Dutch word “koagulation”

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2
Q

What form makes up the majority of Vit K and where is it found?

A

Phylloquinone (K1) - plants

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3
Q

Where is menaquinone (k2) found?

A

Made by bacteria in LI. Animal products

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4
Q

Where are both K1 and K2 absorbed?

A

SI, mostly jejunum

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5
Q

How does K1 and K2 make it to the liver, and where does it go from there?

A

Packed into chylomicrons. Incorporated into VLDL

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6
Q

Where is the majority of Vitamin K stored?

A

Liver

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7
Q

Where is the remaining Vit K (not stored in liver) stored?

A

Heart, lungs, kidneys

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8
Q

T/F

Not much vitamin K is stored because it has a very long half life

A

False,

Not much is stored because it has a very short half life

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9
Q

What are the 3 categorical functions of Vitamin K?

A

Coenzyme
Blood clotting
Bone formation

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10
Q

Vitamin K adds a carboxylic acid to glutamate residues in specific proteins to make…

A

Carboxyglutamate

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11
Q

Carboxyglutamates are…?

A

Calcium-binding sites

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12
Q

Carboxyglutamates are implicated in what function?

A

Found on clotting factors. Required for clotting and bone formation

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13
Q

Osteocalcin (important in bone formation) is affected by what two vitamins, and how?

A

Synthesis stimulated by vit D

Carboxylated by vit K to facilitate Ca++ binding

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14
Q

What is the recommendation for Vit K to males and females respectively?

A

Adult males = 120 micrograms

Adult females = 90 micrograms

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15
Q

What 3 groups of people are most at risk for Vit K deficiency?

A
  1. ) Newborns (given vit K shots at birth to prevent bleeding in the brain)
  2. ) Patient with fat malabs disorders
  3. Patients chronically treated with antibiotics
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16
Q

What are the primary symptoms of vitamin K deficiency?

A

Increased bleeding, osteoporosis, can be fatal

17
Q

What mode of administration has the highest efficacy for Vitamin K?

A

IM

18
Q

T/F

Vitamin K arguably has the lowest safe upper limit, and the most dangerous toxic symptoms?

A

False,

No upper limit established
No toxic symptoms