Renal/Urinary Pharmacology Flashcards
erythropoiesis
The formation of erythrocytes (red blood cells)
Erythropoietin
a hormone secreted by the healthy kidney that communicates with the bone marrow to make more red blood cells.
uremia
Abnormally high concentrations of urea, creatinine, and other nitrogenous
These are end products of protein and amino acid metabolism in the blood.
Diuretic Drugs - How work
Diuretics remove excess extracellular fluid by increasing urine flow and sodium excretion
Carbonic Anhydrase Inhibitors (pharmacology) (2 different things)
decreases the rate of carbonic acid and hydrogen production in the kidney,
increasing the rate of urinary output
lowers the production of aqueous humor, which lowers the pressure in the eye
Anticholinergic urinary drugs can
Used for treating urge incontinence by promoting the retention of urine in the urinary bladder.
Adrenergic Antagonists Renal meds
block sympathetic nervous system stimulation
May relax vascular smooth muscle, enhance peripheral vasodilation, and decrease blood pressure
Control of mild to moderate hypertension associated with chronic renal failure.
Angiotensin-Converting Enzyme Inhibitors (pharmacology)
(ACE)
Blood pressure and fluid balance is regulated by the kidneys via the renin-angiotensin system.
ACE inhibitors are used to treat heart failure, hypertension, chronic renal failure, and protein-losing glomerulonephropathies in dogs and cats.
Vasodilators and Calcium Channel Blockers (pharmacology)
Substituted for or used in combination with other medications if previous drug therapy to control hypertension fails.
Antidiuretic hormone (ADH) (pharmacology)
normally secreted by the posterior pituitary gland
regulates fluid balance in the body.
In some conditions like pituitary diabetes insipidus this hormone isn’t synthesized/excreted well and polyuria and polydipsia may occur.
Urinary acidifiers
Used to produce acid urine, which assists in dissolving and preventing formation of struvite uroliths.
Diets used with or instead of this med
— while the diet is being administered, no acidifiers, salt, vitamin or mineral supplements, or any other food items should be given to the patient.
Urinary alkalizers
may be used in the management of stones (ammonium acid urate, calcium oxalate, and cystine urolithiasis.)
Detrusor muscle
muscle located within the walls of the bladder and is composed of smooth muscle fibers
atonic, neuropathic urinary bladder.
No sense of fullness. Bladder expands Eventually urination occurs but it may cause damage to smooth muscle junctions
Types of diuretic drugs (4)
Loop Diuretics - inhibit the tubular (kidney)reabsorption of sodium.
Osmotic diuretics - limiting tubular reabsorption causing diuresis .
Thiazide diuretics - inhibit reabsorption of sodium, chloride, and water.
Potassium-Sparing Diuretics - aldosterone antagonists