18. Dieuretics Flashcards
MOA of acetazolamide?
location?
2 uses?
Carbonic anhydrase inhibitor
proximal tubule
glaucoma and motion sickness
MOA of spironolactone and eplerenone?
location
competitively inhibit aldosterone binding
late distal tubule and collecting duct
name 4 K sparing diuretics?
spironolactone
eplerenone
triamterene
amiloride
Diuretic of choice in hepatic cirrhosis pts?
Spironolactone
MOA of thiazides?
location?
major AE?
inhibit sodium-chloride cotransporter at distal tubule
hypokalemia AE
name 4 loop diuretics?
furosemide
bumetanide
torsemide
ethacrynic acid
pt presents with edema, class of diuretic to used?
Loop diuretics
class of diuretics with ototoxicity?
Loops
MOA of Loop diuretics?
location
Inhibit Na-K-2Cl cotransporter in ascending limb of loop of henle
diuretics with alterered hormonal activity (gynecomastia/menstrual probs)?
spironolactone
eplerenone
MOA of osmotic diuretics?
name one?
filtered at glomerulus but poorly absorbed. as they are excreted, water is also.
Mannitol
wc class of diuretics dec. Ca excretion? wc increases?
thiazides dec. Ca excretion
loops inc. Ca excretion
wc diuretic should be used in pts with GFR < 30?
wc will not work?
Loops
Thiazides dont work