Diuretics Flashcards

1
Q

What ion does water follow in the kidneys?

A

Sodium

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2
Q

what does carbonic anhydrase do in the kidneys?

A

Brings Na and HCO3 back into the blood- brings water out of urine into blood-results in higher blood pressure

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3
Q

Carbonic anhydrase inhibitors do what?

A

keep water from being reabsorbed and decreases blood pressure

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4
Q

Osmotic diuretics work how?

A

fill the urine with substances, makes water follow it-to the urine and increases urine output

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5
Q

osmotic diuretics are given how?

A

Intravenously

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6
Q

loop diuretics block what?

A

transporter that resorbs sodium and chloride. Results in increased urine output

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7
Q

Where do loop diuretics take action?

A

in the ascending loop of Henle

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8
Q

What are some diuretics that are high allergy drugs?

A

Sulfonamides (which are loop diuretics)

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9
Q

Thiazide diuretics take place where?

A

In the distal convoluted tubule

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10
Q

Thiazide diuretics work on what?

A

Symporter of NaCl

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11
Q

Thiazide and loop diuretics affect which ion that needs to be monitored?

A

potassium

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12
Q

K+ sparing diuretics work how

A

Na channel that brings Na back into blood OR antagonist of the aldosterone receptor.

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13
Q

Which diuretics are used as adjunctive therapy?

A

Potassium sparing diuretics

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14
Q

systolic is the higher/lower number

A

higher

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15
Q

diastolic number is the higher/lower number

A

lower

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16
Q

sympathetic nerves adjust what to regulate vasoconstriction, heart beat and cardiac output/

A

Catacholamines

17
Q

what enzyme cuts angiotensinogen?

A

Renin

18
Q

What converts angiotensin 1 to angiotensin II?

A

ACE

19
Q

angiotensin results in?

A

Increases blood pressure

20
Q

angiotensin acts on the adrenal gland to release what?

A

Aldosterone

21
Q

4 types of drugs to treat hypertension

A
  1. diuretics
  2. Sympathoplegic agents
  3. direct vasodilators
  4. block angiotensin II production or activity
22
Q

thiazide diuretics are used for

A

mild to moderate hypertension

23
Q

sympathoplegic agents activate which receptor?

A

a2 recepotrs in the CNS-reduce cardiac output; reduce release of epinephrine from sympathetic nerve endings

24
Q

block B1 receptors

A

no longer the most popular way to treat high BP, they diminish cardiac output and diminish renin production

25
Q

4 kinds of vasodilators

A

nitric oxide, reduce Ca influx to smooth muscle, hyperpolarization of smooth muscle, activation of dopamine receptors

26
Q

ACE inhibitors work on ?

A

inhibition of formation of angiotensin II (also degrade bradykinin)

27
Q

pril ending means a drug is a what?

A

ACE inhibitor

28
Q

sartan or saran suffix means what type of drug?

A

block AT1 receptor-