hypo and hypernatraemia Flashcards

1
Q

Vasopressin analogues

A

Desmopressin

Terlipressin

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2
Q

what receptors does Desmopressin bind to

A

AVPR1, 2, 3

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3
Q

actions of Desmopressin

A

Vasoconstriction
gluconeogenesis in liver
ACTH release from pituitary
water reabsorbtion collecting duct

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4
Q

how is water reabsorped in the collecting duct - through what channel

A

aquaporin-2 channels

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5
Q

terlipressin can be used for

A

hypotension

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6
Q

terlipressin binds to what receptos

A

V1a V1b and V2

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7
Q

what happens when terlipressin binds to V2

A

activates adenylate cyclase which causes the release of aquaporin 2 channels

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8
Q

receptor V1a

A

which initiates vasoconstriction, liver gluconeogenesis, platelet aggregation and release of factor VIII

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9
Q

receptor V1b

A

which mediates corticotrophin secretion from the pituitary

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10
Q

receptor V2

A

free water reabsorption in the renal medullar

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11
Q

Tolvaptan drug class

A

Vasopressin V2 receptor antagonists

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12
Q

Tolvaptan treats

A

low sodium

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