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35 Cards in this Set

  • Front
  • Back
Carbonic Anyhydrase inhibitors cause
decreased production of H2CO3 thus decreased H+ in cell, leading to decreased Na resorption and increased HCO3 in lumen
Net result of Carbonic Anyhydrase is
increased Na, K, and HCO3 excretion.
Osmotic diuretics cause
H2O to be drawn into lumen of tubules
Thiazide diuretics inhibit what
Na Cl symport
K is only effected in late distal tubule
Acetazolamide is a
Carbonic anhydrase inhibitor
Mannitol is a
Osmotic diuretic
Furosemide is a
Loop diuretics
Chlorothiazide is a
Thiazide diuretics
Hydrochlorothiazide is a
Thiazide diuretics
Triamteren and Amiloride is an
Inhibiotrs of renal epithelial sodium channels
Spironolactone
Antagonists of mineralocorticoid receptors - blocks aldosterone
CA mechanism
interferes with conversion of H2O + CO2 to H2CO3, thus decreased H+, leads to increased NaHCO2 and water excretion.
CA electrolyte results
Increased K+ excretion, via increased Na resorption in CD,
Increased P elimination.
CA induces what metabolic condition
metabolic acidosis.
alkaline urine
CA adverse effects
decrease ammonia excretion - worsens severity of pre-existing hepatic dz.
Increased secretion of weak bases
CA contraindications
with severe pulmonary disease cant respond to metabolic acidosis,
patients with electrolyte disturbances
Mannitol electrolyte affects
increased excretion of Na, K, Cl, Mg, HCO3
Mannitol extrarenal action
decreased hematocrit, and RBC volume.
increased cardiac output,
Furosemide MOA
inhibit NA, K 2Cl symporter
Types of Diuretics
Cargonic anhydrase
Osmotic diuretics
Loop diuretics
Thiazide diuretics
Inhibitors of renal epithelium sodium channels
Aldosterone antagonist
Acetozolamide is what type of drug
Carbonic anhydrase inhibitor
Mannitol is what type of drug
osmotic diruetic
Furosemide is what type of drug
Loop diuretic
Chlorothiazide hydropchlorothiazide is what type of drug
Thiazide diuretic
Triamterene Amiloride is what type of drug
inhibitor of renal epithelium sodium channels
Spironolactone is what type of drug
Aldosterone antagonist
Acetozolamide acts where and does what
Proximal tubule - inhibits CA, decrease protons pumped into lumen - NaHCO3 is formed in lumen and water follows
Acetozolamide is used for
decrease production of aqueous humor in the eye, manage glaucoma
Acetozolamide is electrolyte effect
increasing the excretion of Na/K
Acetozolamide toxicity causes
increased urine ph, metabolic acidosis
Mannitol location of action
Entire loop/nephron
mannitol uses
decrease intracranial/intraocular pressure
Furosemide location of action is
Thick ascending limb
Furosemide mechanism
Blocks Na/K/2Cl symporter
Furosemide results in the
increased excretion of Na, K, Cl, Ca, Mg