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9 Cards in this Set
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- 3rd side (hint)
Osmotics |
Draws fluid from the intracellular space and expands the intravascular volume. (Tubules) |
Mannitol can cause grave consequences for CHF or Kidney disease |
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Thiazide |
(Acts on distal tubule in the Loop of Henle.) Impairment of reabsorption of Na, Cl, and K excreted with. H2O. HCTZ, CTZ, Benthiazide. |
> hypochloremic, hypokalemic metabolic alkalosis. |
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Potassium Sparing |
( Act on distal convoluting tubule & Aldosterone) Triamterine, Amiloride, Spiranolactone- used for overload r/t cirrhosis & heart failure.- slow onset of action. |
Hyperkalemia, nephrotoxicity. Tx: calcium admin, or glucose/insulin. |
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Loop Diuretics |
(ascending loop of H) Interferes with concentrating & diluting mechanisms. Ethacrynic acid, bumetanide,torsemide, Furosemide |
Generalized & Pulmonary edemas, acute kidney injury. RAPID action. Electrolytes imbalances and hearing loss. |
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Carbonic Andrade Inhibitors |
(proximal renal tubules) Acetazolamide. Diminished excretion of H2 ions & bicarb excretion. <IOC |
COPD - Hypercarbia can occur. |
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All anesthetics reduce renal blood flow, GFR, & URINE FLOW |
Due to renal vasoconstriction, or < SVR, ADH stress response. |
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ESRD |
Skeletal muscle relaxants- succinylcholine, curare, pancuronium can be used. |
Vecuronium, droperidol extended monitoring for prolonged action. Propofol is metabolized by the liver.- safe |
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AKI (Acute renal failure) |
@ Risk: Male, <Age>, Obese, DM, >ASA. Septic, Eme Vascular, Cardiac. Bypass, >intraabdominal pressure. |
Prerenal- hypotension, Intrarenal- rhabdomyolysis, Post renal- blockage |
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CKD Chronic Kidney Disease |
Decreased GFR >3 MONTHS = 5 STAGES |
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