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In the case of carboxyl-bearing molecules, an ester glucuronide is the result. All of these are O-glucuronides. Amines may form N-glucuronides that, unlike O-glucuronides, are resistant to bacterial ?-glucuronidases. Soluble cytoplasmic sulfotransferases conjugate activated sulfate (3’- phosphoadenine-5’-phosphosulfate) with alcohols and phenols.
Consequently, the molecular weight of dextran circulating in blood will tend towards a higher mean molecular weight with the passage of time. The most important adverse effect results from the antigenicity of dextrans, which may lead to an anaphylactic reaction. Hydroxyethyl starch (hetastarch) is produced from starch.

 

Structurally, it can be described as a double ACh molecule. Like ACh, succinylcholine acts as agonist at endplate nicotinic cholinoceptors, yet it produces muscle relaxation. Unlike ACh, it is not hydrolyzed by acetylcholinesterase. However, it is a substrate of nonspecific plasma cholinesterase (serum cholinesterase).
In AC failure (primary AC insuffiency: Addison’s disease), both cortisol and aldosterone must be replaced; when ACTH production is deficient (secondary AC insufficiency), cortisol alone needs to be replaced. Cortisol is effective when given orally (30 mg/d, 2/3 a. m. , 1/3 p. m. ). In stress situations, the dose is raised by 5- to 10-fold.

 

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