Drug Excretion Flashcards

0
Q

What is renal blood flow in ml/min?

A

700

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1
Q

What % of CO does kidney receive?

A

20%

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2
Q

What is the GFR in ml/min?

A

125ml/min

20% of RBF

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3
Q

What are the 3 ways drugs can be excreted via the kidney?

A

Glomerular F

Proximal tubular active S

Distal tubular passive R

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4
Q

What molecules does glomerular filtration allow to cross into the filtrate?

A

Free unbound drug

Drug bound to plasma proteins will not

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5
Q

What is the main treatment for gout?

A

Allopurinol

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6
Q

Name an aminoglycoside antibiotic

A

Gentamicin

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7
Q

Name drugs excreted to a large extent by glomerular filtration so can cause toxicity in kidney failure

A
Atenolol
Digoxin 
Allopurinol 
Diuretics 
Some ACE inhibitors
Aminoglycoside antibiotics 
Lithium
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8
Q

What is used to measure glomerular filtration?

A

Creatinine clearance

Usually falls with increasing age

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9
Q

What is the main cause if decreased renal function in the elderly?

A

Atherosclerosis of vessels

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10
Q

What is ethanol metabolised to that cause sickness?

A

Acetaldehyde

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