General Flashcards
Diuretic
agent which produces increased urine flow rate
Natriuretic
agent which increases urinary sodium excretion
all are diuretics b/c increased solute excretion leads to increased water excretion
Acetazolamide
Diamox
C.A. Inhibitor
Mannitol
Osmotic Diuretic
Ferosemide
Lasix
Loop Diuretic
Torsemide
Demadex
Loop Diuretic
Bumetanide
Bumex
Loop Diuretic
Hydrochlorothiazide
Esirdrex
Works primarily in DCT
Metolazone
Zaraloxyn
Works primarily in DCT
Chlorthalidone
Hygroton
Works primarily in DCT
Quinethazone
hydromox
Works primarily in DCT
Spironolactone
aldactone
Works primarily in DCT
Eplenerone
inspra
Works primarily in DCT
Amiloride
midamor
Works primarily in DCT
Triamterene
dyrenium
Works primarily in DCT
Arginine vasopressin
Acts on collecting ducts by V2R agonism
Desmopressin
ddavp
Acts on collecting ducts by V2R agonism
Conivaptan
vaprisol
Acts on collecting ducts by V2R antagonism
Tolvaptan
samsca
Acts on collecting ducts by V2R antagonism
used in combo w/…
beta blockers…dec mortality in pts w/ HTN
Diuretics and ACEIs are the best tolerated drugs for monotherapy of…
HTN
More efficient diuretics than thiazides….used in pts w/ severe HTN unresponsive to thiazides, esp w/ renal insufficiency, cardiac failure, or cirrhosis
Loop diuretics
resulting natriuresis w/ these agents can be excessive…more side effects than thaizides…require frequent monitoring
Loops
Due to high efficacy, administered IV in HTN crisis or acute pulmonary edema
Loops (esp. Furosemide)
Useful in pts w/ hyperuricemia
K-Sparing
diuretic of choice in cirrhosis
Spironolactone
Equipotent to thiazides as antihypertensives
K-sparing
contraindicated in significant renal insufficiency (GFR <75)
K-Sparing
Chronic Renal failure
loop diuretic
Nephrotic syndrome
Loop
Moderate of severe CHF
Loop
Cirrhosis
Spironolactone
Cirhosis w/ CrCl<50
Spironolactone + Loop
Cirrhosis w/ CrCl>50
Spironolactone+Thaizide
Mild CHF w/ CrCl<50
Loop
Mild CHF w/ CrCl>50
Thiazide
or loop?
Nephrogenic Diabetes Insipidus
Thiazides