Hi,
For question 27
Correct Answer: B
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Worked Solution
The pKa (the pH at which 50% of the drug is ionized and 50% is present as base) of the anaesthetic is related to pH and the concentrations of the cationic and base forms by the Henderson-Hasselbalch equation: pH = pKa + log ([base]/ [cation]). When an anaesthetic solution is injected into healthy tissue, it eventually takes on the pH of the surrounding tissue which is 7.4. As pKa approaches pH there is more of the uncharged base form present.
wondering why is the 'uncharged' form the base here? I thought that a conjugate base always has a negative charge? I would have thought that the uncharged version would be the conjugate acid (HA). I get that in the question we need the "non ionised base" to to ensure it passes through the membrane, and in the diagram it shows that the base is RN (uncharged) and the acid is H+
but confused as this doesnt follow what i learned previously about the HH equation as the denominator of the equation is 'cation' when i thought it was meant to be neutral conjugate acid?
Also confused with the part that says "As pKa approaches pH there is more of the uncharged base form present." I thought that as the pkA approaches the pH that there is more of an equal ratio of acid to base??? and that if we want it to be more BASIC so it can pass through, then we need
pH > pkA
7.4 > pKA
but there is no pKa option that is less than pH 7.4
I would have that, that if the ph = 7.4 and all the pKas in the table are above this value, that this would mean that there is more of the acidic/protonated form (because pH < pKa = acidic/protonated ) , not more of the uncharged Basic form.
but i guess the rules would be different given the 'uncharged base', very confused, are you able to please tell me where i am going wrong?
Thanks in advance!