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Binding to plasma proteins is instantaneous and reversible, i.e., any change in the concentration of unbound drug is immediately followed by a corresponding change in the concentration of bound drug. Protein binding is of great importance, because it is the concentration of free drug that determines the intensity of the effect.
By virtue of its hydroxyethyl groups, it is metabolized more slowly and retained significantly longer in blood than would be the case with infused starch. Hydroxyethyl starch resembles dextrans in terms of its pharmacological properties and therapeutic applications. Gelatin colloids consist of crosslinked peptide chains obtained from collagen.

 

The numerous negative charges are significant in several respects: (1) they contribute to the poor membrane penetrability— heparin is ineffective when applied by the oral route or topically onto the skin and must be injected; (2) attraction to positively charged lysine residues is involved in complex formation with ATIII;
Particles > 100 ?m in diameter are trapped in the oropharyngeal cavity; those having diameters between 10 and 60?m will be deposited on the epithelium of the bronchial tract. Particles < 2 ?m in diameter can reach the alveoli, but they will be largely exhaled because of their low tendency to impact on the alveolar epithelium.

 

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