RENAL Flashcards

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0
Q

Diuretics (3)

A
  • Dehydration
  • Hypokalemia (except for K-sparing diuretics)
  • Hepatic Encephalopathy (due to↓NH3 removal -> NH3 toxicity)
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1
Q

Mannitol (1)

CI (2)?

A

Pulmonary Edema

CI:

  • CHF
  • Anuria
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2
Q

CA Inhibitors

A

RTA 2

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3
Q

Loop Diuretics (Furosemide + Ethacrynic acid)

(6: “OH DANG”), CI (2)?

A
  • “OH DANG” *
O- Ototoxicity
H- Hypokalemia
D- Dehydration
A- Allergy (Sulfa)
N- Nephritis (Interstitial) 
G- Gout (can cause hyperuricemia)

CI:

  • NSAIDs (opposing effects on PGE -> no dilation of A.A -> Interstitial Nephritis)
  • Gout patients
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4
Q

Thiazides

(5: 4 “HyperGLUC” + 1)?

A
  • Hyperglycemia
  • Hyperlipidemia
  • Hyperuricemia
  • Hypercalcemia
  • Torsades de Pointes / Prolonged QT
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5
Q

Thiazides + Furosemide

A

Gout

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6
Q

K-Sparing Diuretics

A

RTA 4

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7
Q

ACE Inhibitors

(6: THINK: “Captopril’s CATCHH”), CI (2)?

A
  • Cough (due to↑Bradykinin)
  • Angioedema
  • Teratogen (-> fetal renal malformation)
  • Creatinine (↓GFR)
  • Hypotension
  • Hyperkalemia

CI:

  • C1-Esterase Inhibitor Def (Complement Def)
  • Renal artery stenosis (b/c constrict efferent arterioles ->↓GFR -> renal failure in these patients)
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8
Q

Drug that causes Antiandrogen effects / Gynecomastia?

A

Spironolactone

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9
Q

Drugs that cause Diabetes Insipidus

(2)?

A
  • Demeclocycline

- Lithium

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10
Q

Drug that causes Fanconi’s Sx?

A

EXPIRED Tetracycline

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11
Q

Drugs that cause Hemorrhagic Cystitis

(2: “—famide”)?

A
  • Cyclophosphamide

- Ifosfamide

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12
Q

Drugs that cause Interstitial Nephritis

(3)?

A
  • NSAIDs
  • Furosemide
  • Methicillin
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12
Q

Drugs that cause RTA Type 1

A

Amphotericin B toxicity

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14
Q

Drugs that cause SIADH

(2)?

A
  • Carbamazepine

- Cyclophosphamide

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15
Q

Drugs that cause Renal TCC

A

Cyclophosphamide

16
Q

NEPHROTOXIC Drugs (6)

General Pres (4), 
Drugs (6: 1 Onc + 5 Antibiotics)?
A

PRES:

  • Nephropathy
  • Nephritis
  • Hematuria
  • Renal Failure

DRUGS:
- -platin

  • Vancomycin
  • Aminoglycosides
  • Sulfonamides
  • Amphotericin B
  • ALL Antiviral ‘Nucleic Acid Syn Inhibitors’ EXCEPT Ribavarin
17
Q

NEPHROTOXIC Substances (5)

A
  • Ethylene Glycol
  • Lead
  • Myoglobin (ie Crush injuries to muscle)
  • Urate (ie Tumor Lysis Sx)
  • Radiocontrast Agents