Diuretics Flashcards

1
Q

What dose diuretics do?

A

Increase the amount of the urine,increase the volume of the urine,increase sodium excretion

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2
Q

Thiazide belong to?

A

Sulfonamide

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3
Q

Mechanism of action of thiazide:
Decrease Na exeretion
Block chloride pump
Block sodium pump

A

B

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4
Q

Indication of thiazide:
Treatment of edema
Treatment of liver and renal disease
Treatment of hypertension
All of the above

A

D

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5
Q

Side effect of thiazide:
Fluid and electrolyte imbalance,(hypokalemia/hyperkalemia), (decrease/ increase) calcium exeretion,Uric acid exeretion (increase/ decrease) lead gout

A

Hypo,decrease,decrease and blood glucose level increase, hypotension

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6
Q

Example of thiazide:

A

Hydrochlorothiazide

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7
Q

What is the mechanism of action of loop diuretics?

A

Block chloride pump in ascending loop of henle( where 30% of filtered sodium is reabsorbed) these action decrease the reabsorption of sodium and chloride

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8
Q

Indication of loop diuretics:
Treatment of pulmonary edema
Acute heart failure
treatment of hypertension
Edema associated with HF or with renal or liver disease
All of above

A

E

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9
Q

All of the following is the side effect of loop diuretics except:
Hyperkalemia
Hypokalemia
Alkalosis
Hypocalcemis and tetany
Hypotension
Hyperglycemia

A

A

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10
Q

Example of loop diuretics:

A

Furosemide

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11
Q

What is the mechanism of action of carbonic anhydride inhibitor?

A

Block the effect of carbonic anhydrase slow down the movement of hydrogen ion,more sodium and bicarbonate are lost

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12
Q

Indication of CAI?

A

Inducing Uris is in HF
Treatment of glaucoma
Treatment of moutains sickness
Treatment of epilepsy

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13
Q

All of the following is the Side effect of CAI except:
Metabolic acidosis
Alkalosis
Hypokalemia
Parenthesias of extremities ,confusion

A

B

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14
Q

Example of CAI:
Acetazolamide
Mannitol
Urea
Furosemide

A

A

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15
Q

What is the therapeutics action of potassium sparing diuretics?

A

Loss of sodium,promoting the retention of potassium,Spironolactone act as aldosterone antagonist.
Amiloride and triameterene block potassium seceretion

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16
Q

What is the indication of potassium sparing diuretics?

A

Adjunct of edema of HF ,liver and renal disease
Treatment of hypokalemia
Adjunct for hypertension
Treatment of hyperaldosteronism

17
Q

What is the side effect of PSD?

A

Hyperkalemia,these drug associated with androgens,hirsutism,gynecomastia,deeping of the voice,irregular menses

18
Q

Example of PSD?

A

Spironolactone

19
Q

What is the drugs that pull the water into renal tubule without sodium loss?
PSD
CAI
Osmotic diuretics
Non of the above

A

C

20
Q

Indication of osmotic diuretics?

A

Reduction intracranial pressure
Prevention of renal failure
Reduction of intraocular pressure
Renal clearance of toxic substances

21
Q

What is the side effect of osmotic diuretics

A

Sudden drop in fluid levels,nausea,vomiting,hypotension,light headends,cardiac decompensation ,shock

22
Q

Give example of osmotic diuretics:

A

Mannitol,urea