Diuretics Flashcards
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What are the 5 major classes of diuretics?
- Carbonic anhydrase inhibitors\n2. Loop diuretics\n3. Thiazide diuretics\n4. Potassium-sparing diuretics\n5. Osmotic diuretics
What is the mechanism of action of carbonic anhydrase inhibitors?
Inhibit carbonic anhydrase in the proximal tubule, reducing bicarbonate reabsorption and increasing urinary bicarbonate, sodium, and water excretion.
Give an example of a carbonic anhydrase inhibitor.
Acetazolamide
What are the clinical uses of acetazolamide?
- Glaucoma\n2. Acute mountain sickness\n3. Metabolic alkalosis
Name 3 common loop diuretics.
- Furosemide\n2. Bumetanide\n3. Torsemide
What is the mechanism of action of loop diuretics?
Inhibit the Na+/K+/2Cl- cotransporter in the thick ascending loop of Henle, reducing sodium, potassium, chloride, and water reabsorption.
What are the key side effects of loop diuretics?
- Hypokalemia\n2. Ototoxicity\n3. Dehydration\n4. Metabolic alkalosis
Name 2 common thiazide diuretics.
- Hydrochlorothiazide\n2. Chlorthalidone
What is the mechanism of action of thiazide diuretics?
Inhibit the Na+/Cl- symporter in the distal convoluted tubule, reducing sodium and chloride reabsorption.
What are the clinical uses of thiazide diuretics?
- Hypertension\n2. Edema\n3. Nephrolithiasis (calcium stones)
Name 2 potassium-sparing diuretics that are aldosterone antagonists.
- Spironolactone\n2. Eplerenone
Name 2 potassium-sparing diuretics that are sodium channel blockers.
- Amiloride\n2. Triamterene
What is the mechanism of action of aldosterone antagonists?
Block aldosterone receptors in the collecting duct, reducing sodium reabsorption and potassium excretion.
What are the key side effects of spironolactone?
- Hyperkalemia\n2. Gynecomastia\n3. Menstrual irregularities