KISS Flashcards

(29 cards)

1
Q

which order is bad?

A

zero

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2
Q

what does first order kinetics mean?

A

constant FRACTION is eliminated per time

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3
Q

What does 0th order kinetics mea?

A

constant AMOUNT is eliminated per time

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4
Q

which kind of inhibition changes the Km? why?

A

Km increases with competitive inhibition because the affinity and potency for substrate decreases. because the guy looks just like you

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5
Q

Km is indication of what

A

affinity to substrate. higher Km=lower affinity

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6
Q

noncompetitive inhbitor binds where?

A

regulatory site binding

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7
Q

non competitive irreversible inhibitor influences what?

A

Vmax. that’s your boss who makes you unable to work no matter how you try

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8
Q

Km is same as what

A

potency

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9
Q

Vmax is same as what

A

effecacy

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10
Q

therapeutic index equation

A

median lethal dose/median effective

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11
Q

what is better..low or high therapeutic index?

A

low is good

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12
Q

therapeutic window is window is what?

A

effective and safe

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13
Q

what’s the definition of Km?

A

the amount of substrate at 1/2 of V max

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14
Q

how much drug is elimiated at 3 T1/2

A

87.5%

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15
Q

how much drug is eliminated at 4 T1/2

A

94%

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16
Q

decreases mortality in subarachnoid hemorrh

17
Q

decreases risk of esphageal bleed in liver failure

18
Q

Adenosine is blocked by what?

A

Theophylline and caffeine

19
Q

Digoxin toxicty treatment?

20
Q

blurred yellow vision

21
Q

blue vision changes

22
Q

Blue/green visual changes

23
Q

Digoxin toxicty treatment?

A

Magnesium, digoxin immuno fab

24
Q

What must you monitor when on digoxin? what’s the importance

A

potassium; hyperkalemia is a bad prognosis

25
why use digoxin in afib?
decrease AV conduction (and SA)
26
Why use digoxin in CHF
potentiates myocyte contractility
27
ECG findings of digoxin?
increased PR decreased QT (risk for AV block) | ST scooping/inversion
28
what drugs decreases clearance of digoxin?
verapamil, quinidine, and Amiodarone
29
what factors predispose people to digoxin toxicity?
Hypokalemia (DIURETICS!), renal failure, drugs that inhibit digoxin (verapamil, amiodarone, and quinidine)