DIURETICS Flashcards
carbonic anhydrase inhibitors
acetazolamide
loop diuretics
furosemide, ethacrynic acid
thiazide diuretics
hydrochlorothiazide, chlorthalidone, metolazone
K sparing diuretics
spironolactone
osmotic diuretics
mannitol
proximal convoluted tubule
acetazolamide:
not a great diuretic
metabolic acidosis
contra w/ liver failure
acending loop
furosemide, ethacrynic acid: most effective diuretics ototoxicity, uric acid build up (gout) Ca is SECRETED (pee'd out) w/ NSAID diuretic effects decreased
distal convoluted tubule
hydrochlorothiazide, chlorthalidone, metolazone (thiazides):
inhibits active transport of Na out of tubule
no effect on acid base
Ca is RETAINED in syst
collecting duct
spironolactone (K sparing drugs):
inhibit Na reabsorption (Na pee’d out, K kept in syst)
inhibit K secretion
inhibits aldosterone
see gynacomastia/menstrual irregularities
manitol
osmotic drug used in head trauma to reduce ICP and in patients with renal failure