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ZFundamentals of Drug Action

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Bronstead- Lowry acid/ base   show
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show HCl; HNO3; H2SO4; HClO4  
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2 strong bases   show
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show strong acid; no basic properties in water  
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show weak acid; very weak conjugate base  
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pKa 8-10 is a   show
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pKa > 12   show
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show no answer  
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show Conj acid= H3O; conj base is A-  
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show [products]/ [reactants]  
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difference between pH and pKa   show
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Henderson Hasselbalch eq:   show
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show henderson- hasselbalch equation  
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Drugs that are amines are:   show
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show conjugate base gets ionized; ex: HCl --> Cl-  
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show the acid is ionized  
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show salicylate  
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show basic  
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In an acid, what gets ionized   show
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show the acid is ionized  
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show salicylate  
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show always protonated form on the left (reactant) side of the equation (DENOMINATOR)  
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For ionized acids, pH is above or below pKa?   show
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For a base, the percent ionization gets higher as pH   show
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show Action of the body on the chemical (what the body does to the drug)  
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show What the drug does to the body  
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Processes of pharmacokinetics ADME   show
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Output: Concentration- time relationships   show
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Process of pharmacodynamics:   show
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show Pharmacodynamics  
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show pharmacodynamics response; drug- receptor complex/ pharmacologic response  
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show pass thru barriers (membranes) avoid wrong turn (ex: accumulating in fat cells; avoid metabolic destruction; stability at different pH levels  
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show true; affects drug;s ability to pass thru membranes  
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acids like aspirin are absorbed where   show
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show intestines because as pH increases, bases get LESS ionized  
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why precipitation of bases?   show
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ases are 100% ionized where in the absorption process   show
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to pass thru lipid barrier, a weak acid would be on the left side of the equation because   show
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show they are neutral (unionized); they are protonated on the left side of the rxn; example: BH+ +H2O <-> H3O + B(neutral)  
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PH maintenance mechanisms (3)   show
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show bicarbonate buffer;phosphate buffer; ammonia buffer; proteins  
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show left because the A- will pick up an H+ which drives the rxn to make HA  
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The most important extracellular (plasma) buffering system   show
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Carbonic acids (H2CO3) exist in low amounts in the body; CO2 is considered the weak acid   show
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Co2 and HCO3 act as buffers   show
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show an index of the amount of carb on dioxide in the body (normally 40mm Hg)  
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Normal concentration of bicarbonate is   show
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Intracellular buffer; also in the kidneys   show
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By-product of amino acid metabolism   show
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show proteins; side chains can accept or donate a proton  
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CO2 is an acid and the lungs remove it to raise pH   show
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show Renal (kidney); excrete acidic or basic urine depending on whats needed  
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show in the urine; bicarbonate is not well absorbed by itself, must combine with a proton  
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Bicarbonate and H+ combine to form what?   show
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excess acid in plasma, what does kidney do?   show
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Alkalosis, what does kidney do with bicarbonate?   show
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show increased pCO2; high bicarbonate indicates compensation  
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show low bicarbonate; normal pCO2 indicates not related to respiratory but can be low as compensation  
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