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8 Cards in this Set

  • Front
  • Back

where are the majority of electrolytes absorbed in the kidney?




what is mostly absorbed in the loop of henle?




where do loop diuretics work and what do they inhibit? major side effect

PCT




water




ascending loop of henley, Na K pump




decrease Ca and harmful effect on bones

where do thiazides work, what do they inhibit?




how do they affect calcium?




what hormones work on the collecting duct?

DCT, Na Cl pump




increases it, protects bones




ADH and aldosterone

what does aldosterone usually cause?




other than the typicals, what drugs cause kidney damage?




what patient factor can decrease the accuracy of cockcroft gault equation?

retention of Na and water, and decreases K




cisplatin, colistimethate, cyclosporine, loops, tacroolimus




low muscle mass

what drugs are dosed on GFR and not CrCl?




if you dont have high blood pressure or diabetes, but have proteinuria, should you be on an ACE/ARB?




how high can ACE/ARB increase Scr?

Sglt2 inhibitors and metformin




yes anyone, regardless of conditions, should be on an ACE/ARB if they have proteinuria




up to 30% increase

what is the bp goal if a patient has CKD? with proteinuria?




are quinolones time or concentration dependent?




In CKD, what eletrolyte imbalances result in PTH release?

140/90...130/80




concentration dependent




low Ca and high Phosphate, and lack of active vitamin D cause increase of PTH which causes resorption of bones

what group of phosphate binders are rarely used? why?




what are the first line phosphate binders?




what is the benefit of sevelamer?




what is the brand name?

aluminum based, can cause alumin toxicity and dialysis dementia




calcium acetate and carbonate




does not alter Ca, does not contain alumin, decreases LDL




renvela

what is a major side effect of cinacalcet/sensipar?




Other than the typicals, what drugs increase K?

hypocalcemia




drospironone, bactrim, tacrolimus, canagliflozin

what potassium binder can be used in emergency situations? which one cannot?

kayelexalate/sodium polystyrene




patiromer/veltassa