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Beta-receptor antagonist SNS inhibitor Decreases vascular tone & blood volume via decreased SNS mediated renin release |
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Calcium channel blocker Vasodilator via inhibition of vascular smooth muscle contraction |
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Angiotensin converting enzyme inhibitor (ACE) Renin-angiotensin system inhibitors Decreases vascular tone & blood volume |
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Angiotensin I receptor blockers (ARB) Renin-angiotensin system inhibitors Decreases vascular tone & blood volume Most effective at changing vascular structure |
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Carbonic anyhydrase inhibitor Diuretic via action on sodium reabsorption Increases bicarbonate excretion primarily in proximal tubule Also acts in the eye to decrease intraocular pressure Used in bicarbonate elimination, urinary alkalinization and glaucoma |
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Osmotic diuretic Sugar that is not reabsorbed, thus maintains osmotic strength throughout the nephron Used to prevent renal failure and decrease intracranial/intraocular pressure |
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Loop diuretic via action on sodium reabsorption Inhibits Na-K-2Cl transporter at thick ascending loop of Henle Used in edema, hypercalcemia, CHF, and when refractory to thiazides |
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Thiazide Diuretic via action on sodium reabsorption Inhibits NaCl transporter at distal convoluted tubule Used in hypertension and CHF |
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Aldosterone antagonists Diuretic via action on sodium reabsorption Competitive antagonist of aldosterone at distal nephron (collecting tubule) Used in heart failure and as an anti-hypertensive |
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Diuretic Decreases water retention at the distal tubule and collecting duct |
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Enalapril Losarton (Diuretics) |
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RAS inhibitors Diuretic via action on sodium reabsorption Decreases Ang-II mediated proximal tubule Na reabsorption via inhibition of Na/H pump and Na/K ATPase Alters intrarenal absorption Acts at the proximal tubule and renal post-glomerular resistance vessels Used in hypertension, edema, CHF, post-MI, diabetes and renal failure |
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Potassium sparing drugs Diuretic via action on sodium reabsorption Inhibits electrogenic Na+ reabsorption Used in prevention of hypokalcemia and as an antihypertensive |
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