Exam #2 Flashcards

1
Q

what inhibits sodium transport in the thick ascending loop of henle?

A

Loop diuretics such as

bumetanide, furosemide, torsemide and etacrynic acid

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2
Q

What drug produces diuresis by increasing renal tubular osmotic pressure

A

Mannitol

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3
Q

Which is true about diuretics

A

Spironolactone may help decrease/reverse aldosterone evoked cardiac hypertrophy in CHF patients

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4
Q

Diuretcs are therapeutic for

A

treat and manage HTN
treat and manage ascites
remove pulmonary edema
enhance renal excretion of a toxic drug

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5
Q

What drug produces metabolic acidosis with continued use?

A

Acetazolamide

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6
Q

What drug reduces urine output in patients with central diabetes insipidus?

A

Desmopressin

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7
Q

a patient has been taking lasix for 5 months, what is a side effect of chronic diuresis?

A

hypokalemia

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8
Q

What causes HTN and decreased preload by stimulating synthesis and release of vasodilatory prostaglandins?

A

Furodemide

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9
Q

Why should you not take asprin with loop diuretics?

A

because asprin blocks prostaglandin release

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10
Q

Diuretics are used therapeutically for

A

to lower arterial BP
to remove pulmonary edema
to increase excretion of toxic drugs
to reduce ascites fluid in pts with hepatic cirrhosis

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11
Q

the use of diuretics with digoxin to treat CHF can lead to

A

a reduction in blood volume and loss of potassium

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12
Q

which drug is used to prevent the renal tubular re-absorption of sodium caused by high blood levels of aldosterone?

A

spironolactone

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13
Q

HTCZ acts in the ________ to prevent the renal tubular absorption of sodium

A

the early portion of the distal convoluted tubule

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14
Q

Chronic use of _____ may cause hypokalemia

A

furosimide

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15
Q

which of the following it true regarding the use of Mannitol?

A

readily filtered at the glomerulus, does not cross the blood brain barrier, is not absorbed following oral administration, and is an osmotic diuretic

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16
Q

a patient taking digoxin and a thiazide diuretic for heart failure. Which of the following should be monitored carefully?

A

Serum Na, K, and Calcium levels

17
Q

Drugs that modulate Phase 0

A

Na channel blockers and local anesthetics

Phase 0= rapid depolarization of cell

18
Q

chronic use of local anesthetics

A

increases risk of sudden death

19
Q

Local anesthetics and calcium channel blockers

A

slow conduction by decreasing slope of phase 0

20
Q

ectopic pacemaker

A

pacemaker outside of SA Node

21
Q

Heart failure is

A

the inability of heart to maintain cardiac output (CO)

leading cause if death

22
Q

Diuretic drug of choice for heart failure

A

Loop diuretics

furosimide, bumetanide, torsemide

23
Q

Diuretic of choice for heart failure

A

thiazides

hydrochlorithiazide

24
Q

combination of ACE and Kcl sparing diuretic (spironolactone)

A

increases survival

25
Q

Combination therapy in heart failure

A

ACE, B-Blocker, and diuretic is key to increased survival