Diureticos Flashcards

1
Q

Clasificacion

A

Osmoticos
Accion prox
Asa o techo
Distal

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2
Q

Menores

A

Osmoticos

Inhibidores de anhidrasa

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3
Q

Mayores

A

Accion distal

Asa o techo

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4
Q

Osmoticos

A

Manitol

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5
Q

Inhibidores de anhidrasa

A

Acetazolamida

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6
Q

Asa o techo

A

Ac etacrinco
Furosemida
Bumetamida

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7
Q

De accion distal

A

Tiacidas

Y ahorradores potasio

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8
Q

Tiacidas clasificacion

A

Benzotiacidas o propiamente dichas
Ftalmidinas o de isoindolina
Quinazolinas

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9
Q

Benzotiadacinas

A

Clorotiacida

Hidroclorotiacida

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10
Q

Ftalmidinas o de isoindolina

A

Clortalidona

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11
Q

Quinazolinas

A

Quinetazona

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12
Q

Ahorradores de potasio

A

Inhibidor Aldo: espirolqctona

No inhibidor Aldo:amilorida

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13
Q

Inhibidores anhidrasa

A

Acetazolamida

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14
Q

Proximal

A

Inhibidores de anhidrasa (acetazolamida)

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15
Q

Manitol mecanismo

A

Inhibe reabsorcn agua

Disminuye accion de antidiuretica

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16
Q

Indicaciones manitol

A
Intoxicacion
Temprano insuf renal
Evitar necrosis renal
Glaucoma
Cambio brsuco de flujo
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17
Q

Toxicidad manitol

A

Hiponatremia

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18
Q

Inhibidor Anhidrasa metabolismo

A

No

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19
Q

Acetazolamida acciones

A

Alcalina orina
Produce acidosis
Inhibe humor acuoso, lcr, presion intracraneal
Epilepsia

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20
Q

Mecanismo inhib anidrasa

A
  • Inhibe reabsorcion NaK, disminuye la de HCo

+ Retiene H

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21
Q

Dosis Anhidrasa

A

Mas no es mas

22
Q

Toxicidad Anhidrasa

A

Cristaluria, hematuria, litiasis

23
Q

Mechanismo asa o techo

A
  • Inhibe reabsorcion Na K H Cl Ca Mg

Inhibe cotransportador NaK2cl

24
Q

Acciones fueosemida

A
Menos: 
Sodio
potasio 
calcio 
cloro 
magnesio

Hiperglucemia
HiperURICemia

25
Q

Indicaciones furosemida

A
Edema:
Cardiaco
Hepatico
Renal
Pulmonar
Cerebral
Refractario
Insuf cardiaca
Ascitis
Hipercalcemia (hiperparatiroidismo)
Antihipertensivo
26
Q

Recciones furosamida

A
Electrolitos
Ototox
Hipergluc
Hipotension
Hiperuricemia
27
Q

Contraindic furosamidas

A

Insuf renal hepatica

Trimestre embarazo

28
Q

Biotrans de asa

A

Solo furosemida
Glucoronacion
Conjugacion

29
Q

Iacia de 48 hrs

A

Clortalidon

30
Q

Tiacidas distribucion

A

Riñon y higado

31
Q

Biotrans tiacidas

A

No

32
Q

Tiacidas mecanismo

A

Distal
Inhibe enzimas
Inhibe reabsor h20 y electrolitos
Inhibe cotransport Na Cl

33
Q

Benzotiacidas o propias mecanismo

A
- Na K Cl
\+ ca 
HiperURICemia
Hiperglucemia
Antihipertensiva
Diuretica y ANTIDIURETICA
34
Q

Antidiuretico

A

Benzotiacidas o propias

35
Q

Indicaciones benzotiacidas

A
Edema de insuf cardiaco
Edema hepatico y ascitis
Edema renal
Edema embarazo 
Hipertension
Diabetes
Hipercalciuroa
36
Q

Toxicidad benzotiacidas

A
Electrolitos
- na k cl
\+ calcio hipercalcemia
Alcalosis
Hematopoyesis
37
Q

Contraindica tiacidas

A

Insuf renal
HiperURICemia
Hipopotasemia

38
Q

Espirolactona mecanismo

A
Bloquea Aldo
Inhibe agua
- Na 
Excreta hco
Disminuye secrecion potasio
39
Q

Indicaciones espirolqctona

A
Edema de insuf cardiaco
Edema hepatico y acitis
Edmea renal
Hiperaldo
Paralisis periodica (hipopotasemia)
Antihipertensivo
40
Q

Toxicidad espirolactona

A

+k
-na
Ginecomastia
Amenorrea

41
Q

Espirolactona contra

A

Hiperkalemia

Insuf renal

42
Q

Amilorida mecanismo

A

Inhibe intercambio NaK

-na

43
Q

Toxicidad amilorida

A

Hiperkalemia

44
Q

Contraindic amilorida

A

Insuf ren
Hiperpot
Embarazo

45
Q

Contraindic en embarazo

A

Amilorida
Furosemida trimestre 1
Acetazolamida

46
Q

Contraindicacion manitol

A

Insuf cardiaca

Edema pulmonar

47
Q

Manitol electrolitos

A

-na

48
Q

Anhidrasa electrolitos

A
  • na k hco

+ h

49
Q

Asa electrolitos

A
  • na k h cl ca mg
    + glucosa urea

Nak2cl

50
Q

Benzotiacida electrolitos

A

-na k cl
+ca glucosa urea

Nacl

51
Q

Ahorrador potasio o ac distal electrolitos

A

-na

+k