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Pharmacology of Renal System
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31 Terms
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1
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osmotic diuretics moa
on proximal tubule, increases urinary excretion of almost all electrolytes
2
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Cli osmotic diuretics
narrow → acute RF, brain + eye edema
3
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Mannitol
osmotic diuretic
4
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SE osmotic diuretics
hyponatremia + pul edema OR hypernatremia + dehydration
5
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furosemide
loop diuretic
6
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what is the strongest diuretic?
loop diuretics (furosemide)
7
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Moa loop diuretics
on loop of henle → blocks reabsorption Na + K + H20, Mg + Ca excreted, increases renal flow + venodilation
8
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Cli loop diuretics
emergency, HTN + edema in RF, pul edema in HF
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loop diuretics are used w/
K+ sparing diuretics
10
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SE loop diuretics
cramps, ion imbalances (hypokalemia, hypomagnesemia, hyperuricemia), hypotension, ototoxicity
11
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DDI loop diuretics
aminoglycosides, lithium, digoxin, ACE-i
12
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hydrochlorothiazide (HCht) + Indapamide
thiazide diuretics
13
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Moa thiazides
on distal tubule → increases salt + water loss
14
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Cli thiazides
wide → HTN, HF (arrhythmias, post-MI), diabetes insipidus
15
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SE thiazides
hypercalcemia, gout, dizziness, cramps, hypokalemia
16
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DDI thiazides
lithium, digoxin, ACE-i
17
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SE of thiazides are hypokalemia which is remedied by administering what
K+ sparing diuretics
18
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Amiloride
K+ sparing diuretics (weak)
19
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moa k+ sparing diuretics
on distal tubule
20
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K+ sparing diuretics SE
hyperkalemia, GIT symptoms
21
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moa spironolactone
ALD regulated → resembles steroid, antagonist mineralocorticoid r in distal tubules + collecting duct, natriuretic + k+ sparing
22
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SE spirinolactone
hyperkalemia, mimics steroids (gynecomastia, impotence, menstrual disturbances)
23
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Cli spirinolactone
cardiac edema + HTN, cirrhosis
24
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Th urge incontinence (overactivity detrusor)
parasympatholytics (oxybutinin) + alpha-agonist
25
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moa psly (oxybutinin)
inhibition detrusor contractions, extends time of urgency to urinate
26
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moa alpha-agonists
increases intraurethral p → increased sphincter tone → bladder closure
27
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th for stress incontinence (defective closure)
a-agonists
28
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most common cause of drug induced incontinence
diuretics, alcohol, anticholinergics
29
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Th BPH
a1-antagonists (tamsulosin) + 5a-reductase i (finasteride)
30
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moa a1 antagonist
causes m in prostate to relax
31
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5a-reductase i (finasteride) moa
competes w/ testosterone for enzyme (DHT inhibited) → prostate volume reduction
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