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18 Cards in this Set

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Carbonic Anhydrase Inhibitor



Example


Acetazolamide

Carbonic Anhydrase Inhibitor



Action & Effect

Inhibits CA = Inhibits dehydration of H2CO3 and hydration of CO2 =



impaired NAHCO3 & H2O reabs = diuresis

Carbonic Anhydrase Inhibitor



Site of Action

Early Proximal Tubule

Carbonic Anhydrase Inhibitor


Strength of Effect

Modest because does not affect NaCl reabs

Loop Diuretics


Example

Furosimide (Lasix)

Loop Diuretics


Action & effect

Inhibit NKCC2 co-transporter = inhibits NaCl reabsorption



= naturesis + diuresis

Loop Diuretics


Site of Action

Thick Ascending Limb of Loop of Henle

Loop Diuretics


Strength of Effect

Extremely potent; use for edema and rapid diuresis

Thiazides


Examples

Cholorothiazide



Thiazide


Action & Effect

Inhibit NCC co-transporter; mild naturesis + diuresis

Thiazides


Site of Action

Early Distal Tubule

Thiazides


Strength of Effect

Mild, but enough to treat HTN

Potassium Sparing Diuretics


Examples (2)

Amiloride


Spironolactone

K+ Sparing Diuretics - Amiloride


Action & effect

Block ENaC = inhibit Na Reabs. = collapse Vte (-) = inhibit K+ secretion;



effect - mild naturesis

K+ Sparing Diuretics - Amiloride


Site of Action

Late Distal Tubule

K+ Sparing Diuretics - Amiloride


Strength of effect

Mild

K+ Sparing Diuretics - Spironolactone


Action & effect

Competes with aldosterone for mineral corticoid receptors (MR) = prevents ENaC production = dec. ENac = inhibited Na reabsorption



effect = naturesis

K+ Sparing Diuretics - Spironolactone


Site of Action

Late distal tubule + Cortical Collecting Duct