block a lecture 3 Flashcards

where do drugs act

1
Q

what is a transporter

A

a protein which helps move molecules across a membrane in or out of the cell

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2
Q

2 examples of generic transporters

A

glucose transporters
moving glucose in the liver and skeletal muscle

aa transporters in the intestine to take aa into the body

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3
Q

chemical name of the serotonin neurotransmitter

A

5-hydroxytryptamine
5-HT

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4
Q

where is 5-HT released from and what does it affect

A

released from nerve cells in the brain and affects other target nerve cells increasing activity

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5
Q

what receptor does it interact with

A

5-HT receptor on target cells

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6
Q

what type of neurotransmitter is 5-HT known as

A

excitatory neurotransmitter

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7
Q

5-HT is an excitatory neurotransmitter, what is the effect on brain activity

A

increases brain activity

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8
Q

what does SSRI stand for

A

selective serotonin re-uptake inhibitor

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9
Q

what does fluoxetine block

A

blocks the 5HT reuptake transporter

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10
Q

what does more 5HT hanging around in the space between the 2 neurons lead to

A

more likely to stimulate the 5HT receptor on target neuron
-more activity
-better mood

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11
Q

what does a proton pump transport

A

H ions

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12
Q

what does an anti porter do

A

one mol in one direction and the other in counterdirection

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13
Q

with omeprazole why are H ions moved to the gut

A

because low pH is needed in stomach

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14
Q

what does too much acid in the stomach lead to

A

ulcers

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15
Q

3 medical uses of proton pump inhibitors

A

peptic ulcers
GERD
gastrin producing tumour

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16
Q

why do peptic ulcers arise

A

too much acid damages stomach lining

17
Q

what does GERD stand for and what is it/lead to

A

gastroesophageal reflux disease
sphincter doesnt shut properly-acid into the oesophagus

18
Q

what is a gastrin producing tumour

A

a pancreatic tumour which produces too much gastrin

19
Q

what does gastrin stimulate

A

stimulates parietal cells to release acid

20
Q

what are ion channels

A

pores in the membrane made up of proteins

21
Q

4 different types of channels

A

ligand gated
mechanically gated
always open
voltage gated

22
Q

cells that are excitable have lots of ion channels
why is this

A

because the cells have to respond quickly

23
Q

examples of cells that have lots of ion channels

A

nerve cells
skeletal cells
muscle cells
heart cells

24
Q

how quickly do ion channels open

A

miliseconds

25
what are the charges outside and inside the cell
-ve outside +ve inside
26
what is an action potential
change in membrane potential
27
6 stages of action potential
1- Na channels open, Na enters the cell 2- K channels open, K leaves the cell 3- Na channels become refractory, no more Na enters cell 4- K still leaves cell causing membrane poten. to return to normal 5- K channels close, Na channels rest 6- extra K outside diffuses away
28
where does action potential relay down
the nerve until it gets to the end organ where transmitter release happens
29
what are the 3 classes of sodium channel blockers
class 1A class 1B class 1C
30
what is the mnemonic for the class 1A of sodium channel blockers
double quarter pounder
31
what is the mnemonic for the class 1B sodium channel blockers
lettuce tomato pickles
32
what is the mnemonic for the class 1C sodium channel blockers
fries please
33
names of the class 1A sodium channel blockers
Disopyramide Quinidine Procainamide
34
names of the class 1B sodium channel blockers
Lidocaine Tocainide Phenytoin Mexiletine
35
names of the class 1C sodium channel blockers
Flecainide Propafenone
36
mechanism of action of lidocaine
blocks the channel from inside the cell
37
why does the use of lidocaine result in no pain
no action potential
38
2 other pain meds that are used similarly to lidocaine
benzocaine bupivicaine
39
what do Ca2 channels in the vascular smooth muscle do
mediates contraction controls blood pressure