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mcmp 441 exam 4
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53
Anthropology
Undergraduate 2
11/10/2009

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Term
TXA2 (thromboxane)
Definition
vasocon, bronchocon, stim of platelet agg
Term
PGD2
Definition
bronchocon, inhib of platelet agg, chemoattractant of THS cells easinophils basophils, produced by mast cells
Term
PGE1
Definition
bronchodil, incr. body temp, prevent peptic ulcer
Term
PGE2
Definition
inhib platelet agg, bronch dil, incr body temp
Term
PGF2a
Definition
vasocon, bronchocon, incr body temp
Term
PGI2 (prostacyclin)
Definition
vasodil, bronchodil, inhib platelet agg, fever
Term
LTB4
Definition
chemoattractant, hyperalgesia, IBS, T cell expansion
Term
LTC4
Definition
vascon, bronchocon, incr mucus, attract eosinophils, T cell expansion
Term
LTD4
Definition
vasocon, bronchocon, incr mucus, attract eosinophils, T cell expansion
Term
LTE4
Definition
incr mucus, bronchocon, T cell expansion
Term
alprostadil
Definition
inj for penil action
Term
dinoprostone
Definition
vag admin for uterine action
Term
latanoprost
Definition
intraocular admin for ocular HTN
Term
misoprostol
Definition
oral admin for axn in stomach, given to reduce ulcers from NSAID's
Term
aspirin (ASA)
Definition
irreversible, non-selective COX inhib, antithrombotic
Term
ibuprofen
Definition
propionic acid derivative, nonselec COX inhib, no coagulation effects
Term
naproxen
Definition
propionic acid derivative, nonselec COX inhib, no coagulation effects
Term
ketoprofen
Definition
propionic acid derivative, nonselec COX inhib, no coagulation effects
Term
diflunisal
Definition
NOT antipyretic, fewer GI se's than ASA, no tinnitus
Term
fenoprofen
Definition
propionic acid derivative, nonselec COX inhib, no coagulation effects
Term
flurbiprofen
Definition
propionic acid derivative, nonselec COX inhib, no coagulation effects
Term
oxaprozen
Definition
propionic acid derivative, nonselec COX inhib, no coagulation effects
Term
indomethacin
Definition
arylacetic acid derivative, no COX selectivity, lots of SE's
Term
sulindac
Definition
some COX2 selectivity, used in RA osteoarth and ankylosing spondylitis, PRODRUG
Term
etodolac
Definition
COX2 select, post-op analgesia
Term
tolmetin
Definition
approved for JRA
Term
ketorolac
Definition
parenteral admin, post op pain
Term
diclofenac
Definition
more potent than indomethacin, COX2 sel., CV hazard
Term
piroxicam
Definition
long t1/2, noncarbodylate NSAID
Term
nabumetone
Definition
PRODRUG, metab by CYP450, prodrug mimics naproxen axn
Term
celecoxib
Definition
COX2 sel, analgesia osteoarth RA, CV hazard
Term
Hydroxychloroquine
Definition
mild RA, retinal toxicity
Term
sulfasalazine
Definition
mild RA and IBS, causes myelosuppression
Term
methotrexate
Definition
severe RA, hepatotoxicity, pulmonary toxicity
Term
leflunomide
Definition
mod-severe RA and psoriatic arth, liver damage and DON'T use when pregnant
Term
indomethacin
Definition
inhib urate crystal phag, inhib PG synth, used when colchicine is unsuccessful
Term
colchicine MOA
Definition
binds tubulin=nonselective inhib of cell prolif, inhibits leukocyte migration and phag., inhibits synth of LTB4,
Term
colchicine rationale
Definition
releives pain and infl, no change in urate metab,
Term
allopurinol
Definition
isomer of hypoxanthine=competitive inhib, dec enzyme funct.=inhib uric acid synth, can cause early gout attack
Term
sulfinpyrazone
Definition
compete w uric acid at anion transp for reabs, dec total urate pool in body
Term
probenacid
Definition
compete w uric acid at anion transp for reabs, dec total urate pool in body
Term
rasburicase
Definition
catalyzes oxidation of uric acid to allantoin, used in child leukemia pts
Term
ventolin (albuterol)
Definition
B2 agonist, fast acting, for acute attacks
Term
Terbutaline
Definition
B2 ag, fast acting, acute attacks
Term
Formoterol
Definition
B2 ag, inhaled, (R,R) enant is best
Term
Salmeterol
Definition
inhaled, B2 ag, long acting b/c alkyl w/ benzene anchors to rec, very lipophillic
Term
Theophylline
Definition
inhib phosphodiesterase= inc in cAMP and PKA= relax bronch, antag AR1=prevents constriction, narrow ther. Range
Term
Cromolyn
Definition
inhib mast cell degran, prophylactic for asthma
Term
omalizumab (Xolair)
Definition
an the binds IgE, prevents binding to FcER1, no degran of mast cell, asthma NEEDS to be IgE mediated
Term
Zafirlukast
Definition
selective, competitive CysLT-1 antag= dec Ca, MLCK
Term
Zileuton
Definition
selective inhib of LOX= dec. synth of LTB4, LTC4, LTD4, good for late stage asthma
Term
ipratropium/tiotropium
Definition
muscarinic antag, prevent AcH binding= no PLC, Ca etc… no contraction, not for acute attacks
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