Diuretics Flashcards

1
Q

What do loop diuretics inhibit

A

NKCC2 transporters

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2
Q

Where do loop diuretics work

A

Ascending limb of LOH

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3
Q

Side effects of loop diuretics

A

Dehydration, hypokalaemia, metabolic alkalosis, deafness

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4
Q

Uses of loop diuretics

A

Acute pulmonary oedema, chronic HF, hypertension, liver cirrhosis, AKI, nephrotic syndrome

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5
Q

What do thiazide diuretics inhibit

A

Apical Na+/Cl- cotransporters

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6
Q

Where do thiazide diuretics work

A

Distal tubule

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7
Q

What are thiazide diuretics used for

A

Hypertension, heart failure, oedema

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8
Q

Side effects of thiazide diuretics

A

Hypokalaemia, metabolic alkalosis, increased plasma uric acid, hyperglycaemia, increased plasma cholesterol

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9
Q

Example of thiazide diuretics

A

Indapamide

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10
Q

Example of loop diuretics

A

Furosemide

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11
Q

Effects of hypokalaemia

A

Mild: fatigue, dizziness, muscle weakness
Severe: muscle paralysis, arrhythmia, death

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12
Q

What do aldosterone antagonists inhibit

A

Competitive inhibitor of aldosterone receptor

Reduced Na+ channel formation

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13
Q

Where do aldosterone antagonists work

A

DT cells

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14
Q

Uses of aldosterone antagonists

A

HF, oedema, resistant hypertension

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15
Q

Side effects of aldosterone antagonists

A

Hyperkalaemia, metabolic acidosis, GI upset, gynaecomastia/testicular atrophy

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16
Q

Example of aldosterone antagonists

A

Spironolactone

17
Q

How/where do non-aldosterone antagonists work

A

Inhibit Na+ reabsorption and decrease K+ excretion in distal tubule
Block Na+ luminal channel

18
Q

Side effects of non-aldosterone antagonists

A

Hyperkalaemia, GI disturbances, metabolic acidosis, skin rash

19
Q

Examples of non-aldosterone antagonists

A

Triamterene, amiloride

20
Q

Carbonic anhydrase inhibitors

A

Block NaHCO3- reabsorption in PT
Used for glaucoma/epilepsy
Metabolic acidosis/kidney stones
Azetozolamide

21
Q

Osmotic Diuretics

A

Non reabsorbable solute excreted within an hour, lasts 6-8 hours
Used for cerebral oedema, glaucoma, kidney failure and can eliminate toxins
Can increase plasma volume
Mannitol

22
Q

Potential ADH antagonists

A

Li+ and demeclocycline
Diabetes insipidus/renal failure
Orally active

23
Q

Coffee

A

Increases CO -> weak diuresis

Vasodilation of afferent arteriole