Weak Acids and Weak Bases Flashcards

1
Q

When does a drug usually precipitate?

A

FYI: nonionized drugs are usually lipid soluble and penetrate BBB and placental barrier; ionized drugs are typically water soluble;
So, if you have a drug dissolved in water and its mostly in the nonionized form, it is likely that the drug will precipitate

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2
Q

Weak acids become more ________ when pH decreases and more _______ when pH increases.

A

nonionized, ionized
ex) pKa of thiopental = 7.6–> if put into pH of 7.4, since thiopental is a weak acid and it was placed into a slightly more acidic environment than it’s pKa…. more of the injected thiopental will be in the nonionized form

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3
Q

Weak bases become more ________ when pH decreases and more _______ when pH increases.

A

ionized, nonionized

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4
Q

What is pKa?

A

when the pH of the aqueous solution is the same as the pKa of the drug, the drug will be 50% nonionized and 50% ionized.–> PKa is the pH at which the drug reaches 50%/50% equilibration, not whether or not it is an acid or a base.

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5
Q

What are classic weak acids found on board exam?

A

thiopental and other barbiturates; propofol

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6
Q

Weak acids give up ______, but not completely.

A

H+

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7
Q

Acid + Acid = ________

A

nonionized; weak acids become more nonionized as pH falls (H+ increases)

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8
Q

Strictly speaking, the nonionized form of the weak acid is the _____, and the ionized form is called the ______.

A

acid, conjugate base

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9
Q

The _____ the pKa of a weak acid, the ______ the amount of drug in nonionized form at physiological pH (7.4).

A

greater; greater

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10
Q

Should thiopental be mixed with a low pH solution?

A

No. b\c it is a weak acid and when placed in an acidic solution more of the drug becomes non-ionized–> nonionized will form precipitate

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11
Q

Why is thiopental stored and placed in a solution with pH 10-11?

A

when it is stored in a solution with a pH of 10-11, most of the drug will be in ionized form—> ionized drug is highly water soluble–> precipitate will not form when thiopental is stored in a solution with a high pH

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12
Q

Name 4 of the primary weak bases seen on the board exam.

A

1) local anesthetics
2) ketamine
3) opioids
4) benzo’s

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13
Q

Weak bases accept _______, but never do so completely.

A

hydrogen ions (H+)

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14
Q

Weak bases become more ________ as pH increases.

A

non-ionized as H+ decreases

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15
Q

Base + Base = ________

A

nonionized
EX) pKa of lidocaine is 7.7; if pH is 7.7, 50% of the lidocaine would be in the ionized form and 50% in the nonionized form–> when lidocaine is injected into the body at pH=7.4, less than 50% of the drug will be nonionized (base + acid=ionized)

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16
Q

Strictly speaking, the non-ionized form of a weak base is the _____, and the ionized form is called the _______.

A

base; conjugate acid

17
Q

What does protonated mean?

A

a substance has accepted a hydrogen ion

18
Q

If placed in a patient with pH of 7.4, would a LA with a pKa of 9.1 or 7.6 be more nonionized?

A
  1. 6
    * when looking at the number graph, weak bases… nonionized is everything to right of pKa and with weak acids nonionized is everything on left
19
Q

The ____ the fetal pH, the ______ the amount of local anesthetic is in ionized form in the fetus. What is this called?

A

lower; greater

ion trapping

20
Q

What combination will most facilitate trapping of local anesthetic by the fetus?

A

maternal alkalosis and fetal acidosis

21
Q

What condition most prevents passage of local anesthetic from fetus to mom?

A

fetal acidosis

22
Q

KNOW THE FOLLOWING INFO

A

Weak acids unit with positively charged ions such as Na+, Mg+, or Ca++–> If you see one of the following salts–> sodium drug, calcium drug, magnesium drug–> you would recognize as the salt form of a weak acid.
Ex) sodium pentobarbital

23
Q

KNOW THE FOLLOWING INFO

A

Weak bases unite with negatively charged ions such as Cl- or SO4—> if you see one of the following salts–> drug chloride, drug sulfate–> you would recognize the drug as the salt form of a weak base.
Ex) lidocaine hydrochloride and morphine sulfate