Diuretics Flashcards
Furosemide
Loop
Bumetanide
Loop
Ethacrynic Acid
Loop
Torsemide
Loop
Loop MOA
Inhibit Na/K/Cl active CO-transporter in thick ascending,
Excretes Ca,Mg,H,K,Cl,Na,
Pulmonary vasodilation
Chlorothiazide
Thiazide
Hydrochlorothiazide
Thiazide
Chlorthiodone
Thiazide
Indapamide
Thiazide
Metolazone
Thiazide
Thiazide Uses
Ca retention to prevent kidney stones, ect,
D. Insipidus.
Glycerin
Osmotic
Isosorbide
Osmotic
Mannitol
Osmotic
Osmotic MOA
inert increase of osmolarity in tubule,
All electrolytes increase excretion.
Spironolactone
Potassium Sparing
Eplerenone
Potassium Sparing
Triamterine
Potassium Sparing
Amiloride
Potassium Sparing
Potassium Sparing (Spiron) MOA
Inhibits aldosterone reducing AIP production,
= Less Na channel production = Less Na/K trade
Spironolactone and Aldosterone
Very effective in reducing the systemic effects of aldosterone pathologies
Acetazolamide
Carbonic anhydrase inhibitor
Dorzolamide
Carbonic anhydrase inhibitor
Carbonic anhydrase inhibitor (Uses)
Mountain sickness,
corrects alkalosis caused by Loop and Thiazides,
short term adjunct therapy,
glaucoma.
Loop (Uses)
Asthma,
Hypercalcemia, Hyperkalemia
Loop (Kinetics)
Protein bound
Loop (Long term phenomenon)
Braking Phenomenon - less effective doses by keeping more Na with each dose.
Thiazide (Kinetics)
Protein bound,
Proximal tube,
Weak C. Anhydrase Inhibitor.
Thiazide (Disadvantage)
Same as Loop:
Cause: HypoK, hypoH2O, HyperCa, HyperUrea, HyperGlyc.
Osmotic (Disadvantage)
Cause:
HypoNa, HA, N/V.
Osmotic (Uses)
Brain edema,
Glaucoma,
ARF,
Eliminate toxins.
Potassium Sparing (Amilo/Triam) MOA
Direct inhibition of Na channel = Less Na transport = Less Na/K trade
Potassium Sparing (Kinetics)
Collecting duct/Distal tubule
Diuretic of choice for Hepatic cirrhosis
Spironolactone