Ch. 28 MOA Flashcards
Inhibit resorption of water sodium and chloride in the distal convoluted tubules. Potassium is excreted to a lesser extent. This medication also directly dilates arterials and therefore decreased peripheral resistance and decrease BP.
Thiazide and Thiazide-like Diuretics
Work in collecting ducts and distal convoluted tubules. Competitively bind to and block aldosterone receptors and therefore block the resorption of sodium and water.
K-Sparing Diuretics
Pull water into the renal tubules from the surrounding tissues. Inhibits tubular resorption of water and solutes and therefore rapid diuresis results. Must be given IV.
Osmotic Diuretic
Reduce the H+ ion concentration in renal tubules, and results in increased excretion of bicarbonate, Na+, H2O, and K.
Carbonic Anhydrase Inhibitors
Act directly on the ascending loop of Henle to inhibit sodium and chloride resorption. Also increase renal prostaglandins and therefore dilation of blood vessels and decreased peripheral resistance occur
Loop Diuretics
This drug class is used to treat idiopathic hypercalciuria.
Thiazide/Thiazide-like Diuretics
This drug class is used to treat diabetes insipidus. Has a paradoxical antidiuretic effect.
Thiazide/Thiazide-like diuretics
This medication may crystallize when exposed to low temperatures and therefore a filter must be used when administered.
mannitol
Indications: Hyperaldosteronism, HTN, reversing K loss, and HF
spironolactone
triamterene