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22 Cards in this Set

  • Front
  • Back

The General Action of Diuretics

Increase urine output via the kidney by inhibiting sodium reabsorption at different levels of the renal tubular system

The five types of Diuretics

Thiazides


K+ Sparing Diuretic


Osmotic Diuretic


Carbonic Anhydrase Inhibitors


Loop Diuretics

Hydrochlorothiazide

Thiazide Diuretic

Action of Thiazides

Blocks Na+/Cl- Co-transpoter which results in an increase in osmolarity of the urine and a decrease in H2O reabsorption

Thiazides are used to treat...

Hypertension


Cardiac Decompensation


Ascites


Chronic Renal Failure

The two types of K+ Sparing Diuretic

ENAC Blocker


Aldosterone Antagonist

Triamterene

ENAC Blocker (K+ Sparing Diuretic)

Amiloride

ENAC Blocker (K+ Sparing Diuretic)

Action of ENAC Blockers

Directly blocks epithelial Na+ channels in PCT, CT and C Duct, it is used with loop diuretics and thiazide

Spironclactone

Aldosterone Antagonist (K+ Sparing Diuretic)

Action of Aldosterone Antagonists

Open ENAC and increase DNA transcription of ENAC

Aldosterone Antagonists are used to treat...

Hyperaldosteronism and they are used with Loop Diuretics

What is Hyperaldosteronism?

Conns Syndrome


Hepatic Cirrhosis

Mannitol

Osmotic Diuretics

Action of Osmotic Diuretics

Increase osmotic pressure in the glomerular filtrate therefore decreasing water reabsorption from the nephron

Uses of Osmotic Diuretics

Forced diuresis (poisoning)


acute glaucoma


cerebral oedema

Acetazolamide

Carbonic Anhydrase Inhibitor (Diuretic)

Action of carbonic anhydrase inhibitors

Suppresses H+ production therefore decreasing NA+ H+ exchange therefore there is less NA+ reabsorption therefore less H2O reabsorption

Carbonic Anhydrase Inhibitors are used for...

Glaucoma


Altitude Sickness


Alkalosis

Furosemide

Loop Diuretic

Action of Loop Diuretics

Inhibit Na+/K+/2Cl- co-transporters which leads to an increase in osmotic pressure in the distal tubule which decreases reabsorption

Loop Diuretics are used in...

Heart Failure


Renal Failure


Hypertension


Ascites


Nephrotic Syndrome