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FIU - RTK drugs
RTK drugs
28
Pharmacology
Graduate
12/16/2011

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Cards

Term
ROSA insulins
Definition
Aspart, Lispro, Regular
Term
Aspart insulin
Definition
same as human insulin w/ 1 aa substitution pts can eat w/in 10 mins of administration TO: .25-1hr, D: 3-5hrs
Term
Lispro insulin
Definition
same as human insulin w/ 1 aa transposition
more rapidly absorbed subcutaneously than human insulin
TO: .25-.5 hrs, D: 4-6hrs
Term
Regular insulin
Definition
soluble insulin
made with zinc
only type used i.v. (for life threatening hyperkalemia)
TO: .5-1hr, D: 6-10hrs
Term
intermediate acting insulins
Definition
NPH and NPH+regular
Term
NPH insulin
Definition
TO: 1-2hrs, D: 16-24hrs
Term
NPH + regular insulin
Definition
TO: .5-1hr, D: 16-24hrs
Term
SOLA insulins
Definition

Slow onset long acting

Zn added -> precipitation at injection site and prolonged absorption

lente, ultralente, gargine, detemir

Term
Lente insulin
Definition
TO: 1-3hrs, D:16-24hrs
Term
Ultralente insulin
Definition
TO: 4-6hrs, D: 24-48hrs
Term
glargine insulin
Definition
TO: 2-3hrs, D: >24hrs
Term
Detemir
Definition
TO: 3-4hrs, D: 16-20hrs
Term
Ideal weight (kg)=
Definition
=100 - height (cm)
Term
TDD of insulin = ?
day/night requirement
Definition
= 1/2 unt per kg ideal weight
day = 2/3 TDD
night = 1/3 TDD
Term
1800 rule
Definition
estimates point drop of blood sugar in mg/dl per unit of Lispro or Aspart
1800/TDD = point drop (mg/dL)
Term
1500 Rule
Definition
same as 1800 rule but for regular insulin
1500/TDD = point drop (mg/dL)
Term
glucose conversion mmol to mg/dL
Definition
mmol/L x 18 = mg/dL
Term
"inib"
Definition
RTK inhibitors
Term
selective inibs
Definition
BCR/ABL TK inhibitors - Imatinib, Dasitinib, Nilotinib
EGFR inhibitors - Gefitinib and Erlotinib
Term
Philadelphia chromosome
Definition
9-22 fusion product
ABL = tyrosine kinase gene on #9
BCR = break point cluster gene on #22
Term
Imatinib
Definition
tx for myelocytic leukemia (MCL)
blocks ATP binding site on BCR-ABL tyrosine kinase, preventing autophosphorylation and activation
Mut at T315l (imatinib binding domain) confers resistance to imatinib, dasitinib and nilotinib
Term
Gefitinib
Definition
EGFR inhibitor
Tx of non-small cell lung cancer
less nausea than previous chemotherapy
Term
Erlotinib
Definition
EGFR inhibitor
non-small cell lung cancer and pancreatic cancer
Term
cetuximab
Definition
Chimeric (mouse/human) monoclonal antibody against EGFR
Term
Nonselective inibs
Definition
Sunitinib, Sorafinib, Lapatinib
target multiple protein kinases
Term
Sunitinib
Definition
non-selective inib
targets many RTK
Term
sorafinib
Definition
non-selective inib
targets many RTK
Term
lapitinib
Definition
non-selective inib
targets many RTK
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