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Chemistry Word bank
Protein, Enzyme, Lipid, Electrolytes, Carbs, NPN
Question | Answer |
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Electrolyte | Major ions of body fluid: constitute majority of osmotically active particles: cation electrolytes include sodium and potassium: anion electrolytes includes chloride and bicarbonate. |
Anion Gap | Difference between sum of measured cations and sum of measured anions. Equation [Na+ -[Cl- +HCO3-] |
Osmolality | Measurement of number of moles of particles per kilogram of water |
Osmometry | Osmotic concentration expressed as osmoles or milliosmoles of solute per liter of solvent. |
Hyponatremia | Abnormally low plasma sodium concentrations (Less than 136 mmol/L) |
Hypernatremia | Abnormally high plasma sodium concentrations (More than 150 mmol/L) |
V max | Occurs when substrate concentration is high enough that all enzyme molecules are bound to substrate and all active sites are engaged. |
Michaelis-Menten constant (Km) | Substrate concentration in moles per liter when initial velocity is ½ v max. E+S=ES=E+P |
1st order kinetics | Reaction involving enzymes and drug where rate of drug elimination is proportionate to its concentration. |
Zero order kinetics | Change of plasma concentration of drug is independent of plasma drug concentration |
McLean relationship | [Ca2+][Pr2-]/[CaPr]=K (Calcium) |
Oxidoreducatse | Group of enzymes that catalyze oxidation reduction reactions (Examples: LDH and G6PD) |
Transferase | Catalyze the transfer group other than hydrogen between two substrates (Example: AST, ALT, GGT) |
Hydrolases | Catalyze the hydrolic addition of water cleavage of compounds (Example: AMS, LPS) |
Lyases | Catalyze the removal of groups from substrates without hydrolysis addition of water leaving double bonds in product |
Isomerases | Catalyze the interconverson of isomers |
Ligases | Catalyze the joining of two molecules coupled with the hydrolysis of pyrophosphate bond in adenosisine triphosphate ATP or similar compounds |
Creatine Kinase | In a cytoplasmic and mitocholdrial enzyme that catalyzes the reversible phosphorlyation of creatine by ATP ( Tnazer Gilvary, Oliver, Rosalki) |
Relative index of CK | Calculated by dividing the CK-MB mass by the total CK: ratios higher than 5 indicate cardiac source |
De Ritis ratio | Ratio of AST to ALT: helpful in determining cause of liver disease; in alcoholic liver disease and cirrhosis ALT> AST |
Alkaline Phosphatase | Is a generic name for a group of enzymes with maximum activity in the ph range of 9.0 to 10.0. |
Lipase | Hydrolyzes glycerol esters of long chain fatty acids to produce alcohol and fatty acids |
Lipids | Class of organic compounds that are actually or potentially esters of fatty acids: soluble in organic solvents and nearly insoluble in water |
Very low density lipoproteins (VLDLs) | Class of lipoproteins that are primarily transporters of endogenous triglycerides from liver to muscles and adipose cells: contain greater lipid-to-protein ratio |
Fatty Acids | Simplest form of lipids, has chemical formula RCOOH |
Triglyceride | Most common glycerol ester in plasma, comprising of glycerol and 3 fatty acids, neutral fat combines with proteins to form lipoproteins |
Cholesterol | Contains 27 carbon atoms and four fused rings A, B, C, D called a perhydrochopentanophenatrene nucleus |
Phospholipids | Diglycerides containg phosphorous example lecithin, constitute most of lipid portion of cell membrane |
High Densitey lipoprotien HDL | Cholesterol scavenger that removes cholesterol from tissues, esterifies it and carries to the liver for disposal |
Liebermann-Buchard and Abell-Kendall Assay | Early method for total cholesterol measurement |
Freewald Equation | Used to calculate LDL from total cholesterol HDL and triglycerides; LDL cholesterol= Total cholesterol (HDL-C+TG/5 |
Nephrons | Structural and functional units of kidney: approximately 1 million to 1.5 million nephrons in each kidney: each one consists of glomerulus within Bowman’s capsule |
Nonprotein nitrogen (NPN) | Products of catabolism of proteins and nucleic acids that contain nitrogen but are not part of protein molecule: urea |
Nessler’s Reagent | Convert nitrogen to ammonia which formed a yellow color (Early detection for NPH in urine) |
Azotemia | Increased levels of blood urea and other NPH compounds in blood. |
BUN: creatine or BUN: CR ratio | Ratio that can be used to distinguish among three major types of azotemia-prenatal, renal, and postrenal. |
Urea | Major nitrogen-containg metabolic product of protein catabolism in humans |
Jaffe Reaction | Reaction between creatine and picric acid in alkaline medium, yellow orange compound |
Glomerular filtration Rate GFR | Rate of urine formation as plasma passes through glomeruli of kidney Volume of plasma filtered T (per unit of time) |
Creatine Clearance Test Formula | CrCl(mL/min/1.73m2=[(U x V) }x (1.73/A) P |
Lesch-Nyhan Syndrome | X linked genetic disorder caused by deficiency of hypoxanthine-guanine phosphoribosyl transferase: mental retardation (Uric Acid) |
Reye’s Syndrome | Acute, often fatal, childhood syndrome presumably caused by virus hallmarks are encephalopathy and fatty infiltration of the liver (no aspirin for kids) |
Hormone | Chemical substance that has specific regulatory effect on activities of certain organ, organs or cell types. |
Steroids | Organic compound containing in its chemical nucleus the ring structure groups of compounds related to sterols, including vitamin D, bile acids and certain hormones. |
Addison’s Disease | Primary adrenal insufficiency caused by progressive destruction of adrenal gland because of infectious diseases or infiltration by neoplastic tissue. |
Cushing’s syndrome | Condition characterized by increased concentration of adrenal glucocorticoids hormone in the bloodstream. |
Mineralcocrticoids | Steroid hormones secreted by adrenal cortex that stimulates resorbtion of sodium and excretion of potassium in kidneys; aldestrone is the major minieralocorticoid in humans |
Amino Acid | Molecule containing amino group, (NH2), carboxyl group (COOH), Hydrogen and R group. |
Essential Amino Acid | Amino acid that is not synthesized in the body that must be ingested in diet; in humans 8-10 essential amino acids |
Alkaptonuria | A rare inherited disease that results from the deficiency of the enzyme homogentisitc acid oxidase in the catabolic pathway of tyrosine: build up of acid in tissues |
Maple Syrup Urine Disease (MSUD) | Genetic disorder named for characteristic maple syrup or bunt sugar odor of affected individuals urine; caused by absence of or extremely low levels of alpha- ketoacid decarboxylase enzyme |
Phenylketonuria (PKU) | Inborn error of metabolism, an autosomal recessive trait, in results in the inability to metabolize essential amino acid phenylalanine to tyrosine |
Multiple Myeloma | Cancer of plasma cells in bone marrow (M spike, High IgG, kappa or lambda in serum and urine) |
Albumin: globulin ratio (A: G) | Ratio of albumin to globulin proteins in serum; reference range for ratio is approximately 1.0-1.8, with albumin levels normally higher than globulins. (Albumin/Globulin= in percent) |
Islets of Langerhans | Endocrine portion that makes up approximately 1% of pancreases and produce hormones that are secreted into circulatory system. Each islet contains three types of cells: alpha, beta and delta. |
Breath Test | Test that have been developed to evaluate fat absorption: detect specific substance in exhalant that helps explain metabolic change |
Fecal fat | Test to determine quantity of lipids in times stool specimen: used to evaluate chronic diarrhea and confirm diagnosis of malabsorbtion or pancreatic dysfunction |
Pancreatitis | Inflammation of pancreas that occurs as result of autodigestion |
Insulin | Small peptide hormone secreted by the beta cells of islets of Langerhans. (Decreases blood glucose) |
Embden-Meyerhoff Pathway | Glycolysis of glucose into pyruvate or lactate with or with out oxygen present; principal means of energy production in humans, glucose broken down into two 3 carbon molecules, lactate or pyruvate with the net gain of two ATP molecules. |
Diabetes mellitus (Type 1) | Group of chronic metabolic diseases characterized by hyperglycemia because of defects in insulin production (polydipsia, polyria, Polyphagia in childhood) (fruity smell) |
Diabetes mellitus (Type 2) | Insulin action (most common- gradual) |
Diabetic ketoacidosis (DKA) | Condition affecting type 1 diabetics because of tendency to produce high levels of keytones when glucose levels are out of control |
Glucose-6-Phosphate deficiency | Type I and most common form of glycogen storage disease: also known as von Gierke disease. |
Pompe’s disease | Type II glycogen storage disease, such as acid maltase deficiency : divided into to forms based on age of onset |
Cori’s Disease | Type III glycogen storage disease; caused by glycogen debrancher enzyme deficiency in the liver, muscle, and some blood cells. |
Anderson’s Disease | Type IV glycogen storage disease: enzyme deficiency in liver, brain, heart, skeletal muscle, skin. |
Galactosemia | Autosomal recessive trait characterized by lack of an enzyme, galactose 1 phosphate |
Henderson- Hasslebalch equation | Equation that defines relationships among ph, bicarbonate, and partial pressure of dissolved carbon dioxide gas |
Acidemia | condition of decreased ph of blood. |