Diuretics Flashcards
Where do loop diuretics act?
The thick ascending limb of the loop of Henle
Mechanism of action of loop diuretics?
Block the triple co-transporter
What do loop diuretics do?
Prevent dilution of the filtrate in the TAL, increasing the load of Na+ reaching the late nephron
How do loop diuretics enter the nephron?
OAT
Example of a loop diuretic?
Furosemide
Indications for loop diuretic use?
Nephrotic syndrome
Acute hypercalcaemia
Hypertension
Chronic heart/kidney failure
Cons of loop diuretics?
Hypovolaemia
Hypotension
Calcium and magnesium depletion
Hypokaleamia
Where do thiazide diuretics act?
Early distal tubule
Mechanism of action of thiazide diuretics?
Block Na+/Cl- cotransporter
What do thiazide diuretics do?
Increase Na+ load reaching the late nephron
Increase calcium reabsorption
How do thiazide diuretics enter the nephron?
OAT
Example of a thiazide diuretic?
Bendroflumethiazide
Indications for thiazide diuretic use?
Mild heart failure
Hypertension
Renal stone disease
Nephrogenic diabetes insipidus
Cons of thiazide diuretics?
Hypovolaemia
Hypotension
Hypokalaemia
Magnesium depletion
Where do osmotic diuretics act?
Proximal tubule