therapeutics 2 Flashcards

(37 cards)

1
Q

T-PA

A

tissue plasminogen activator

  • activates plasminogen
  • which activates
  • plasmin which breaks down fibrin- fibrinolysis
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2
Q

if an infection allows natural immunity

A

then vaccine can be produce

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3
Q

types of vaccines

A

1) live attenuated
2) dead
3) subunit
4) toxoid
5) DNA

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4
Q

CD4

A

orchestrates an immune repsonse

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5
Q

CD8

A

killing

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6
Q

live vaccines (usually viral)

A
  • living but disables- unable to cause disease
  • induce antibody, D4, CD8
  • bets mimic
  • however risk of reversion
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7
Q

Dead

A

uses the killed version - radiation or chemicals

  • whole cell
  • immunity nit as effective
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8
Q

subunit

A

only certain fragments are introduced (e.g. proteins and polysaccharides) e.g. F1 and V in plague

  • pure- few side effect
  • induces antibodies and CD4+
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9
Q

DNA vaccine

A
  • identify and produce gene coding for a vaccine compound e.g. a protein
  • DNA taken up by cells in the body
  • cells produce proteins
  • immune response
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10
Q

passive antural

A

antibodies from mother e.g. in milk

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11
Q

active natural

A

body makes own antibodies after exposure

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12
Q

pass artificial

A

another source of antibodies given e.g. immunoglobulins e.g. direct injection to tetanus antibodies

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13
Q

active artificial

A

body makes antigens after pathogen given in some form e.g. vaccine

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14
Q

B-lactams

A

penicillin, cephalosporins and monobactams- stop cell wall synthesis

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15
Q

Benzylpenicillin

A

narrow spectrum, Neisseria and Haemophilis

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16
Q

3rd gen cephalosporins

17
Q

penicillin and cephalopsorns

A

diffuse well into the bode and fluid–> able to penetrate into CSF
–> IV or IM

18
Q

Blactams

A

cell wall synthesis

19
Q

glycopeptides

A

cell wall synthesis

20
Q

sulfanomides

A

bacterial folate synthesis

21
Q

quinolones

A

DNA synthesis ( DAN gyrate)

22
Q

tetracycline

A

protein synthesis and bacteriostatic

23
Q

Aminoglycosides

A

protein synthesis and bacteriocidal

24
Q

Macrolides

A

protein synthesis- binds to 50s ribosomal subunit

25
ampheicols
protein synthesis and bacteriostatic - bactericidal for H. influenza - bind to 50s ribosome subunit
26
IL-2
proliferation of immune cells e.g. B and T
27
IL-1
proliferation of keratinocytes
28
NSAIDS
target arachidonic acid pathway
29
NSAIDS reduce the production of..... from
prostaglandins from arachidonic acid
30
prostaglandins
increase fever, inflammation and pain
31
what do NSAIDS inhibit
COX enzymes
32
COX-1
expressed all the time- prostaglandin produce protective substances e.g. mucus to protect the stomach
33
COX-2
only expressed during inflammation- target for drugs nw days
34
examples of NSAIDS
ibuprofen, aspirin, dipliofenic
35
NSAIDS decrease
uncomforted when we are unwell
36
side effects of NSAIDS
vomiting, diarrhoea, ulcers, bleeding, kidney failure
37
why increase in bleeding with NSAIDS
thromboxane produces platelets- clotting