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40 Cards in this Set

  • Front
  • Back
source of secretin
S cells in duodenum
action of secretin
increases pancreatic HCO3- secretion, decreases gastric acid secretion and decreases bile acid secretion
regulation of secretin
secreted when acid or fatty acids in duodenum
causes of anion gap metabolic acidosis
MUDPILES
methanol
uremia
diabetic ketoacidosis
paraldehyde/phenformin
iron/isoniazid
lactic acidosis
ethylene glycol
salicylates
Burkitts genetics
t(8,14) c-myc to IgG heavy chain
mantle cell lymphoma genetics
t(11,14)
Follicular Lymphoma genetics
t(14,18)
bcl2 expressed decreasing apoptosis
significance of t(15,17)
M3 type of AMP that responds to all-trans-retinoic acid therapy
CML genetics
t(9,22) bcr-abl Philly chromosome
Ewing Sarcoma genetics
t(11,22)
TdT + ?
marker of pre-B and pre-T cells
Heparin: MOA, use, labs?
MOA: cofactor for antithrombic activation to decrease sthrombin and Xa
used for pulmonary embolus anticoagulation, stroke, acute coronary, MI, DVT, anti-coag in PREGNANCY
LAB: PTT - intrinsic
SE of Heparin use?
Tx?
bleeding, HIT, osteoperosis
protamine sulfate rapidly reverses
Low MW heparin pros? cons?
pros: longer half life, more action on Xa, better bioavailability, given SQ w/o lab monitoring
con: NOT EASily reversible
HIT - MOA, Tx?
Heparin binds platelets --> AutoAb produced-->destroys and activates platelets
Tx: Protamine sulfate then Lepirudin and bivalirudin to inhibit thrombi
thrombolytic MOA
Toxicity Tx?
aids plasminogen --> plasmin to cleave thrombin and fibrin
Tx OD w/ Aminocarproic acid
first line for testicular tumors that complexes iron and produces superoxide to attack DNA bonds
bleomycin
enhances tubulin polymerization = arrest in anaphase
paclitaxel
major functions of alpha one receptor (3)
increase contraction of:
vascular smooth muscle
pupillary dilator
intestinal and bladder sphincter
major functions of alpha two receptor (2)
decreases sympathetic outflow and decreases insulin release
TdT + ?
marker of pre-B and pre-T cells
Heparin: MOA, use, labs?
MOA: cofactor for antithrombic activation to decrease sthrombin and Xa
used for pulmonary embolus anticoagulation, stroke, acute coronary, MI, DVT, anti-coag in PREGNANCY
LAB: PTT - intrinsic
SE of Heparin use?
Tx?
bleeding, HIT, osteoperosis
protamine sulfate rapidly reverses
Low MW heparin pros? cons?
pros: longer half life, more action on Xa, better bioavailability, given SQ w/o lab monitoring
con: NOT EASily reversible
HIT - MOA, Tx?
Heparin binds platelets --> AutoAb produced-->destroys and activates platelets
Tx: Protamine sulfate then Lepirudin and bivalirudin to inhibit thrombi
thrombolytic MOA
Toxicity Tx?
aids plasminogen --> plasmin to cleave thrombin and fibrin
Tx OD w/ Aminocarproic acid
first line for testicular tumors that complexes iron and produces superoxide to attack DNA bonds
bleomycin
enhances tubulin polymerization = arrest in anaphase
paclitaxel
major functions of alpha one receptor (3)
increase contraction of:
vascular smooth muscle
pupillary dilator
intestinal and bladder sphincter
major functions of alpha two receptor (2)
decreases sympathetic outflow and decreases insulin release
major functions of beta one receptors (4)
increase HR
increase contractility
renin release
lipolysis
major functions of beta two receptors (7)
vasodilation, bronchodilation,
increased: HR, contractility, lipolysis and insulin release
decreased uterine tone
major functions of muscarinic type i receptor (2)
CNS and enteric nervous system decreases
major functions of type II muscarinics? (2)
decrease HR and aortic contractility
major functions of M3 receptors (6)
basically responsible for all the non-heart PNS activity
increase: exocrine secretion, gut peristalsis, bladder contraction, bronchoconstriction, pupillary sphincter (miosis), ciliary muscle contraction (accomodation)
D1 receptor functions?
relaxes renal vasculature smooth muscle
D2 receptor effects?
modulate transmitter release
H1 effects (4)
increase nasal/bronchial mucus
contracts bronchioles
increases pruritus
increases pain
H2 effects
increases gastric acid
V1 effect
increased vascular smooth muscle constriction