What type of pump do PPIs block to reduce acid secretion?

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Study for the PAEA Emergency Medicine EOR Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Proton pump inhibitors (PPIs) are a class of medications that effectively reduce gastric acid secretion in the stomach. They accomplish this by specifically targeting and inhibiting the H+/K+ ATPase pump, which is located in the parietal cells of the gastric epithelium. This pump is responsible for exchanging hydrogen ions (H+) for potassium ions (K+) across the gastric cell membrane, which is a vital step in the secretion of gastric acid.

By blocking the H+/K+ ATPase pump, PPIs significantly decrease the proton concentration in the gastric lumen, leading to a reduction in acidity. This mechanism is beneficial for conditions like peptic ulcers and gastroesophageal reflux disease (GERD), where excessive stomach acid can lead to discomfort and complications. The effectiveness of PPIs stems from their ability to provide prolonged suppression of gastric acid production, often lasting for 24 hours or more after a single dose.

In contrast, the other pumps listed are involved in different physiological processes. The Na+/K+ ATPase pump regulates sodium and potassium levels across cell membranes, the Ca2+ ATPase pump is involved in calcium transport, and the Cl- ATPase pump pertains to chloride ion transport—all of which are essential but unrelated to

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