PPIs are weak bases activated by protonation in parietal cells

That's right! PPIs are weak bases, which become protonated in the acidic environment of the stomach, thus becoming active. This also results in the drugs becoming entrapped in parietal cells, which restricts their action locally.  

A few weeks later 

Mr. Mason has finished his H. pylori eradication regimen but continues to take the PPI to allow for ulcer healing.  

On Sunday morning, the Masons are getting ready to go to church. It is a cold, winter morning and it has been snowing for the best part of the night. Mr. Mason is walking to his car, when he slips on a patch of ice and falls on the staircase. In addition to his bruised ego, Mr. Mason is in a lot of pain and is clutching his arm. 

Mrs. Mason takes him to the hospital, where a humerus fracture is diagnosed. 

An adverse effect due to which drug could have contributed to Mr. Mason's fracture risk?



  • Ramipril
  • Bisoprolol
  • Amoxicillin
  • Lansoprazole
  • Metolazone

Map: Connor Mason_UNIC (1100)
Node: 20908
Score:

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OpenLabyrinth
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  • Θόρυβος εικόνας
  • Explore training programs
  • Verapamil (Calcium Channel Blocker)
  • Intravenous resluzimab (IL-5 antibody)
  • Learning Point:
  • Gre za slikanje.
  • Oral prednisolone (glucocorticoid)
  • Go to Espresso House instead.
  • Reschedule with alternative (e.g., WhatsApp call) if needed
  • Alters ammonia metabolism by colonic bacteria
  • Η σημασία της ποιότητας του ύπνου
  • surfactant – diuretics – bili and discuss
  • Empagliflozin (SGLT2 inhibitor)
  • Noțiuni de bază despre enzime
  • Basarse en rasgos físicos
  • Educating your patient on self-management
  • Surfactant-Consultant
  • Ο ασθενής χρησιμοποιεί μια εφαρμογή κινητής τεχνολογίας υγείας(mHealth)
  • All about he cares is playing and he doesn't get involved in the other courses.
  • εκκινηση
  • new node
  • steroids – diuretics – split bili and other tests
  • PPIs are weak bases activated by protonation in parietal cells

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