Shared Flashcard Set

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Board Prep Renal
Board Prep Renal
18
Pharmacology
Graduate
03/30/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Drugs used for Diuresis
Definition

Mannitol

Acetazolamide

Loop Diuretics

(Furosemide)

Ethacrynic acid

Hydrochlorothiazide

K+-sparing diuretics

(Spironolactone, Trimeterene, Amiloride, Eplerenone)

 

Term

What drug is an Osmotic diuretic, ↑ tubular fluid osmolarity, producing ↑ urine flow?

 

What is this drug used for?

Definition

Mannitol


Clinical Use:

Shock

Drug Overdose

↑ intracranial/intraocular pressure

Acute Glaucoma

Term
What diuretic can cause pulmonary edema and is contraindicated in CHF?
Definition
Mannitol
Term

What Diuretic is a carbonic anhydrase inhibitor, that causes a reduction in total-body HCO3- stores?

 

What are it's clinical uses?

Definition

Acetazolamide


Clinical Use:

Glaucoma

Urinary Alkalinization

Metabolic Alkalosis

Altitude sickness

Term
What drugs work on the Proximal Tubule?
Definition

Mannitol

 


Acetazolamide

(Carbonic anhydrase inhibitor in PCT)

Term
What diuretic can cause a Hyperchloremic metabolic acidosis?
Definition

Acetazolamide

 

ACIDazoamide causes ACIDosis

Term

What cotransport system is inhibited by the Loop Diuretics?

 

Furosemide

Definition

Na+, K+, 2Cl- cotransport system

 

of the Thick Ascending Limb of Loop of Henle

Term
What diuretics cause increased Ca2+ excretion?
Definition

Loop Diuretics

Furosemide

 

Loops Lose Calcium

Term

What are Loop Diuretics used for?

 

What is their toxicity effects?

Definition

Clinical Uses:

Edematous States

(CHF, cirrhosis, nephrotic syndrome, pulmonary edema)

Hypertension

Hypercalcemia


Toxicity:

Ototoxicity

Hypokalemia

Dehydration

Allergy (Sulfa)

Nephritis (interstitial)

Gout


OH DANG

Term

What drug can be used for diuresis in patients with sulfa allergies?

 

What is it's mechanism?

Definition

Ethacrynic Acid

 

MOA:

Same as Loop Diuretics

(Inhibits cotransport system)

Term

What drug inhibits NaCl reabsorption in early distal tubule, reducing diluting capacity of the nephron?

 

What are it's clinical uses?

Definition

Thiazide Diuretics

 

Hydrochlorothiazide


Clinical Use:

Hypertension

CHF

Idiopathic Hypercalciuria

Nephrogenic Diabetes Insipidus

Term
What drug is a good choice for hypertension in a post-metapausal woman?
Definition

Hydrochlorothiazide


↓ Ca2+ excretion

Term
What are the toxic effects of Hydrochlorothiazide?
Definition

Hypokalemic Metabolic Alkalosis

Hyponatremia

 

HyperGlycemia

HyperLipidemia

HyperUricemia

HyperCalcemia

(HyperGLUC)

Term

What K+-sparing diuretic is a competative aldosterone receptor antagonist in the cortical collecting tubule?

 

What K+-sparing diuretic block Na+ channels in the cortical collecting tubule?

Definition

Aldosterone receptor antagonist

Spironolactone

 

Na+ Channel Blocker

Triamterene

Amiloride

Term
What side effect can Spironolactone have?
Definition

Hyperkalemia → arrhythmias

 

Aldosterone antagonisism → antiandrogen effects → gynecomastia

Term

[image]

 

Where do each of the following drugs work?

1. Acetazolamide

2. Mannitol

3. Loop Diuretics

4. Ethacrynic acid

5. Hydrochlorothiazide

6. K+-sparing diuretics

Definition

1. proximal convoluted tubule

 

2. Proximal Convoluted Tubule

 

3. Loop of Henle - Thick Ascending Limb

 

4. Loop of Henle - Thick Ascending Limb

 

5. Distal Convoluted Tubule - Early portion

 

6. Cortical Collecting Tubule

Term
What drugs reduce levels of angiotensin II?
Definition

ACE Inhibitors

 

 

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