Antihypertensive Agents - Diuretics Flashcards

1
Q

What is the classification of diuretics

A

Carbonic anhydrase inhibitors
Thiazides
Thiazide like
Loop diuretics
Potassium sparing diuretics

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2
Q

What are diuretics

A
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3
Q

How do diuretics decrease blood pressure

A
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4
Q

What are the conditions treated by diuretics

A

Hypertension
Systemic edema
Glaucoma
Obesity

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5
Q

What is a side effect of carbonic anhydride inhibitor ?

A

Decrease bicarbonate so more acidic - lower blood pH causing metabolic acidosis

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6
Q

What is the mechanism of diuretics

A
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7
Q

Explain the mechanism of action of loop diuretics

A
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8
Q

Explain carbonic anhydrase

A
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9
Q

Explain carbonic anhydrase inhibitor

A
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10
Q

Are carbonic anhydrase inhibitors used as diuretics

A

They are weak diuretics - now used as local eye drops for glaucoma

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11
Q

Thiazide diuretics are derived from what and how do they work

A
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12
Q

Explain the side effects of thiazide diuretics

A
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13
Q

Explain the SAR of thiazide diuretics

A
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14
Q

Explain indapamide (natrilix)

A
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15
Q
A
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16
Q

Explain Furosemide

A
17
Q

Furosemide is clinically used for what

A
18
Q

What are the side effects of Furosemide

A
19
Q
A

Furosemide - furan

20
Q

What’s the difference between potassium sparing diuretics with the other types of diuretics

A
21
Q

Why are the potassium sparing diuretics called like that

A
22
Q

How are the potassium sparing diuretics used

A
23
Q

What is the side effect of potassium sparing diuretics

A

Hyperkalemia

24
Q

What should be avoided when taking potassium sparing diuretics

A

Food rich in potassium like banana

25
Q

Explain an example of potassium sparing diuretics

A
26
Q

Explain amiloride and how it is different from spironolactone

A

Amiloride inhibits sodium reabsorption in the late distal consulates tubule, it does not compete with aldosterone - it inhibits the transporter itself not the receptor

27
Q
A

Spironolactone - has spiral carbon