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8 Cards in this Set

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ACETAZOLAMIDE

(DORZOLAMIDE)
Carbonic anhydrase inhibitors (blocks bicarbonate reabsorption)

Act in PCT

Use: Glaucoma, urinary alkalinisation, mountain sickness, metabolic alkalosis

AE: metabolic acidosis, renal stones, K+ loss, hepatic encephalopathy
MANNITOL
Osmotic diuretic

Use: maintain tubular flow, reduces intracranial & intraocular pressure

AE: immediate ECF volume expansion, hypernatremia
FUROSEMIDE

(BUMETANIDE, TORSEMIDE, ETHACRYNIC ACID)
Loop diuretic - K wasting diuretic

Acts in the TAL to inhibit the Na/K/Cl transporter

Use: emergency edematous conditions (acute pulm edema, acute CHF), acute hyperCa++ or K+, tx of acute oliguria, anion overdose, refractory HTN or CHF

AE: hypokalemia, metabolic alkalosis, ototoxicity, hyperuricemia, hypermagnesemia, allergic rxn
HYDROCHLOROTHIAZIDE
Inhibit NaCl symporter in DCT

Uses: HTN, CHF, kidney stones due to idiopathic hypercalciuria (enhances Ca++ reab), nephrogenic diabetes insipidus

AE: hypokalemia, metabolic alkalosis, hyperuricemia, hypernatremia, impiared carb tolerance, hyperlipidemia
METOLAZONE
Related to thiazides but also effective at low GFR

Uses: HTN, edema, combination treatment w thiazides
TRIAMTERENE

AMILORIDE
K+ sparing diuretics

Blocks aldosterone and Na channel in collecting tubule

Use: combo w thiazide

AE: hyperkalemia, aggravated by B blockers, ACE inhibitors, metabolic acidosis (Triamterene - acute renal failure, kidney stones)
SPIRONOLACTONE
K+ sparing, aldosterone antag in collecting tubule

Use: HTN, CHF

AE: hyperkalemia, aggravated by B blockers & ACE inhibitors, metabolic acidosis, gynecomastia
NESIRITIDE
B type natriuretic peptide

Antag for renin, angiotensin II, aldosterone, ADH

Uses: acute severe heart failure