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
Indicaciones furosemida
``` Edema: Cardiaco Hepatico Renal Pulmonar Cerebral Refractario Insuf cardiaca Ascitis Hipercalcemia (hiperparatiroidismo) Antihipertensivo ```
26
Recciones furosamida
``` Electrolitos Ototox Hipergluc Hipotension Hiperuricemia ```
27
Contraindic furosamidas
Insuf renal hepatica | Trimestre embarazo
28
Biotrans de asa
Solo furosemida Glucoronacion Conjugacion
29
Iacia de 48 hrs
Clortalidon
30
Tiacidas distribucion
Riñon y higado
31
Biotrans tiacidas
No
32
Tiacidas mecanismo
Distal Inhibe enzimas Inhibe reabsor h20 y electrolitos Inhibe cotransport Na Cl
33
Benzotiacidas o propias mecanismo
``` - Na K Cl + ca HiperURICemia Hiperglucemia Antihipertensiva Diuretica y ANTIDIURETICA ```
34
Antidiuretico
Benzotiacidas o propias
35
Indicaciones benzotiacidas
``` Edema de insuf cardiaco Edema hepatico y ascitis Edema renal Edema embarazo Hipertension Diabetes Hipercalciuroa ```
36
Toxicidad benzotiacidas
``` Electrolitos - na k cl + calcio hipercalcemia Alcalosis Hematopoyesis ```
37
Contraindica tiacidas
Insuf renal HiperURICemia Hipopotasemia
38
Espirolactona mecanismo
``` Bloquea Aldo Inhibe agua - Na Excreta hco Disminuye secrecion potasio ```
39
Indicaciones espirolqctona
``` Edema de insuf cardiaco Edema hepatico y acitis Edmea renal Hiperaldo Paralisis periodica (hipopotasemia) Antihipertensivo ```
40
Toxicidad espirolactona
+k -na Ginecomastia Amenorrea
41
Espirolactona contra
Hiperkalemia | Insuf renal
42
Amilorida mecanismo
Inhibe intercambio NaK | -na
43
Toxicidad amilorida
Hiperkalemia
44
Contraindic amilorida
Insuf ren Hiperpot Embarazo
45
Contraindic en embarazo
Amilorida Furosemida trimestre 1 Acetazolamida
46
Contraindicacion manitol
Insuf cardiaca | Edema pulmonar
47
Manitol electrolitos
-na
48
Anhidrasa electrolitos
- na k hco | + h
49
Asa electrolitos
- na k h cl ca mg + glucosa urea Nak2cl
50
Benzotiacida electrolitos
-na k cl +ca glucosa urea Nacl
51
Ahorrador potasio o ac distal electrolitos
-na | +k