Diuretics Flashcards
Site of Carbonic Anhydrase Inhibitors
Proximal Convoluted Tubule
Carbonic Anhydrase Drug
“Zolamides”
Acetazolamide
Use of Acetazolamide
DiarrheaGlaucoma
Edema with Alkaslosis
Mountain Sickness
SE Acetazolamide
Hyperchloremic metabolic acidosis
Hepatic encephalopathy
NAGMA
HARD UP Hyperalimentation Acetazolamide RTA Diarrhea Ureteral diversion Pancreatic Fistula
Site of action Loop Diretics
Thick Ascending Loop of Henle
Decrease efficacy of Loop Diuretics
NSAID
Prototype Loop Diuretic
Furosemide
Loop Diuretics inhibit
Na/K/2Cl transporter
Uses Loop Diuretic
Anion Overdose, Hypercalcemia
SE Loop Diuretic
Hypokalemic metabolic alkalosis
Synergistic ototoxicity with Furosemide
Aminoglycosides
Furosemide Toxicity
OH DANG Ototoxicity Hypokalemia Dehydration Sulfa Reaction Nephritis Gout
Site of Thiazide Diuretics
DCT - Na/Cl transporter
Diuretic for Hypercalciuria and Nephrogenic DI
Thiazides - Hydroxychlorothiazide
Thiazide Toxicity
Hyper GLUC Hyper Glycemia Hyper Lipidemia Hyper Uricemia Hyper Calcemia
Steroid inhibitors of cytoplasmic aldosterone receptor in cortical collecting ducts
Spirinolactone
K Sparing diuretics
K STAE Spirinolactone Triamterene Amiloride Epleronone
Gynecomastia drugs
Spirinolactone Digoxin Cimetidine Alcohol Ketoconazole
Potassium Sparing, Na blocker
Inhibits ENaC
Used for Hypokalemia
Amiloride
Retains Water in the Tubule
Osmotic Diuretics, Mannitol
For Rhabdomyolysis, Increase Intracranial pressure, Acute Glaucoma
Osmotic Diuretics - Mannitol
AE of Mannitol
Transient volume expansion
Site of ADH action
Medullary Collecting Ducts
Agonist V1 and V2
Insertion of Aquaporin Water Channels in CD
Vasopressin
For central diabetes insipidus, Nocturnal enuresis, Hemophilia and vWD Disease
Vasopressin
Increases Factor VIII
Vasopressin
ADH not given in pregnancy as it inc uterine pressure
Telopressin
V1 AND V2 Antagonist
Conivaptan
For SIADH and Hyponatremia
Conivaptan
SE of Conivaptan
Nephrogenic DI
Bone and Teeth Abnormalities
Dual endothelin receptor agonist for pulmonary HPN
Bosentan
Acts in metab of lipid and CHO, has protective effects in cardiac and endothelial dysfunction
L Carnitine
Sympatholytic anti HPN, acts as a A1 antagonist and 5HT1A agonist
Urapidil
Stabilized cell membranes and reduces free radicals
Citicoline
B2 adrenoceptor agonist, tx of premature labor and Raynauds
Isoxuprine