Drug Excretion Flashcards
What is renal blood flow in ml/min?
700
What % of CO does kidney receive?
20%
What is the GFR in ml/min?
125ml/min
20% of RBF
What are the 3 ways drugs can be excreted via the kidney?
Glomerular F
Proximal tubular active S
Distal tubular passive R
What molecules does glomerular filtration allow to cross into the filtrate?
Free unbound drug
Drug bound to plasma proteins will not
What is the main treatment for gout?
Allopurinol
Name an aminoglycoside antibiotic
Gentamicin
Name drugs excreted to a large extent by glomerular filtration so can cause toxicity in kidney failure
Atenolol Digoxin Allopurinol Diuretics Some ACE inhibitors Aminoglycoside antibiotics Lithium
What is used to measure glomerular filtration?
Creatinine clearance
Usually falls with increasing age
What is the main cause if decreased renal function in the elderly?
Atherosclerosis of vessels
What is ethanol metabolised to that cause sickness?
Acetaldehyde