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Ch. 4 Skin and Body Membranes
Marieb - Essentials of Human Anatomy & Physiology 13th Edition
Marieb13th EditionEssentials of Human Anatomy & PhysiologyISBN: 9780135624340Not the one you use?Change textbook
All textbooksMarieb 13th EditionCh. 4 Skin and Body MembranesProblem 21
Chapter 4, Problem 21

Mr. Grayson is receiving a drug treatment transdermally (through the skin). Explain why drugs delivered by this route are fat-soluble rather than water-soluble.

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Understand the structure of the skin: The skin consists of multiple layers, with the outermost layer being the stratum corneum. This layer is composed primarily of dead keratinized cells surrounded by lipids, making it a hydrophobic (water-repelling) barrier.
Recognize the properties of fat-soluble substances: Fat-soluble (lipophilic) substances can easily dissolve in and pass through the lipid-rich environment of the stratum corneum, allowing them to penetrate the skin and enter the bloodstream.
Contrast fat-soluble and water-soluble substances: Water-soluble (hydrophilic) substances are less likely to penetrate the lipid-rich stratum corneum because they are repelled by the hydrophobic nature of the lipids, making them ineffective for transdermal delivery.
Explain the mechanism of transdermal drug delivery: Fat-soluble drugs diffuse through the lipid layers of the stratum corneum, then pass into the deeper layers of the skin and eventually reach the capillaries to enter systemic circulation.
Summarize the importance of drug solubility: For transdermal drug delivery to be effective, the drug must be fat-soluble to overcome the skin's lipid barrier and ensure proper absorption into the bloodstream.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Transdermal Drug Delivery

Transdermal drug delivery involves administering medication through the skin to achieve systemic effects. This method allows for a controlled release of the drug into the bloodstream, bypassing the digestive system and first-pass metabolism. It is particularly useful for drugs that require steady plasma levels over time.
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Lipid Solubility

Lipid solubility refers to a drug's ability to dissolve in fats or lipids rather than in water. Since the skin's outer layer, the stratum corneum, is primarily composed of lipids, fat-soluble drugs can more easily penetrate this barrier. This property is crucial for effective transdermal absorption.
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Skin Barrier Function

The skin acts as a barrier to protect the body from external substances, which includes limiting the absorption of water-soluble compounds. The structure of the skin, particularly the lipid-rich layers, favors the passage of lipophilic (fat-soluble) substances, making them more suitable for transdermal delivery compared to hydrophilic (water-soluble) drugs.
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More than one choice may apply.

Which layer of the heart wall is an endothelium?

a. Endocardium

b. Myocardium

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d. Pericardium

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