Term
where is ferrous iron converted to ferric |
|
Definition
mucosal cell then split from heme |
|
|
Term
what is ferric iron bound to for immediate transport? |
|
Definition
|
|
Term
How and Where is iorn stored |
|
Definition
Stored as hemosiderin
Liver and spleen |
|
|
Term
what happens to transferrin in iron deficiency? overload? |
|
Definition
Deficiency: transferrin up, ferritin down
overload: transferrin down, ferritin up |
|
|
Term
When should iron be given? |
|
Definition
microcytic anemia post gastrectomy evaluation for occult bleeding |
|
|
Term
oral preparations of iron therapy |
|
Definition
ferrous salts sulfate, gluconate, fumarate |
|
|
Term
clinical toxicity of iron |
|
Definition
necrotizing gastroenteritis
metabolic acidosis |
|
|
Term
Treatment of iron toxicity |
|
Definition
gastric lavage
deferoxamine |
|
|
Term
where is excess iron deposited? |
|
Definition
heart, liver, and pancrease |
|
|
Term
what are the active forms of vit B12? |
|
Definition
deoxyadenosylcobalamin and methylcobalamin |
|
|
Term
|
Definition
complexed with IF in distal ileum |
|
|
Term
how is folic acid absorbed? |
|
Definition
polyglutamate to monoglutamate then bloodstream |
|
|
Term
what are the two essential enzymatic reactions that require B12? |
|
Definition
methylmalony-CoA to succinyl-CoA
CH3 H4 to H4 folate |
|
|
Term
Which reaction can folate reverse? |
|
Definition
|
|
Term
what does vit b12 and folic acid treat? |
|
Definition
|
|
Term
Which drug reverses neurological damage? |
|
Definition
|
|
Term
what is the metabolism of heparin? |
|
Definition
not bound to plasma proteins does not pass placental barrier terminated by liver metabolism |
|
|
Term
|
Definition
|
|
Term
|
Definition
accelerates antithrombin activity which inactivates thrombin and stops production of fibrin |
|
|
Term
how do you reverse heparin? |
|
Definition
|
|
Term
|
Definition
acts more on Xa LONGER half-life |
|
|
Term
This anticoag is given orally |
|
Definition
|
|
Term
How is coumarin distributed? |
|
Definition
|
|
Term
|
Definition
prevent vit K dep clot fctrs (2,7,9,10) |
|
|
Term
this prevents thrombosis post-op |
|
Definition
|
|
Term
this requires max heparin and warfarin |
|
Definition
established venous thrombosis |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
which has more side effects, hep or coumarin? |
|
Definition
|
|
Term
this anti coag inhibits the hepatic metab of mny drugs |
|
Definition
|
|
Term
These drugs prevent ischemic stroke and cardiac events in patients w/unstable angina |
|
Definition
clopidogrel and ticlopidine |
|
|
Term
this is antibody that inhibits glycoprotein IIb/3b |
|
Definition
|
|
Term
This glycoprotein inhib is a peptide |
|
Definition
|
|
Term
side effect of platelet inhibs |
|
Definition
|
|
Term
non pep glycoprotein inhib |
|
Definition
|
|
Term
this inhibits platelet cAMP phosphodiesterase |
|
Definition
|
|
Term
|
Definition
activates plasmin, which digests fibrin |
|
|
Term
how to treat t-PA toxicity |
|
Definition
|
|
Term
|
Definition
anemia of :
renal failure HIV therapy chemo |
|
|
Term
This treats hemophilia B? |
|
Definition
|
|
Term
this treats hemophilia A? |
|
Definition
|
|