Potassium-Sparing Diuretics: Generic names, action, adverse effect, route of administration, contrai Flashcards

(41 cards)

1
Q

What is a potassium-sparing diuretic?

A

A type of diuretic that helps the body retain potassium while promoting the excretion of sodium and water.

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2
Q

Name a common generic potassium-sparing diuretic.

A

Spironolactone.

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3
Q

What is the primary action of potassium-sparing diuretics?

A

To inhibit sodium reabsorption in the kidneys while conserving potassium.

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4
Q

True or False: Potassium-sparing diuretics cause significant potassium loss.

A

False.

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5
Q

What is the route of administration for most potassium-sparing diuretics?

A

Oral.

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6
Q

Which potassium-sparing diuretic is often used to treat heart failure?

A

Spironolactone.

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7
Q

What is a common adverse effect of potassium-sparing diuretics?

A

Hyperkalemia (high potassium levels).

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8
Q

Fill in the blank: Potassium-sparing diuretics are contraindicated in patients with _______.

A

Severe kidney dysfunction.

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9
Q

Name another potassium-sparing diuretic besides spironolactone.

A

Eplerenone.

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10
Q

What is the mechanism of action of amiloride?

A

It blocks epithelial sodium channels in the kidney.

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11
Q

True or False: Potassium-sparing diuretics are often used in combination with other diuretics.

A

True.

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12
Q

What condition can potassium-sparing diuretics help manage in addition to hypertension?

A

Edema.

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13
Q

What should be monitored regularly in patients taking potassium-sparing diuretics?

A

Serum potassium levels.

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14
Q

Which potassium-sparing diuretic is selective for mineralocorticoid receptors?

A

Eplerenone.

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15
Q

Fill in the blank: Potassium-sparing diuretics are effective in treating _______ hypertension.

A

Resistant.

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16
Q

What is the primary contraindication for using spironolactone?

A

Hyperkalemia.

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17
Q

What side effect is associated with spironolactone due to its anti-androgen effects?

A

Gynecomastia.

18
Q

What electrolyte imbalance can occur with potassium-sparing diuretics?

A

Hyperkalemia.

19
Q

Which diuretic type is least likely to cause hypokalemia?

A

Potassium-sparing diuretics.

20
Q

True or False: Eplerenone has a higher risk of gynecomastia compared to spironolactone.

21
Q

What is the effect of potassium-sparing diuretics on blood pressure?

A

They help lower blood pressure.

22
Q

Which potassium-sparing diuretic is often used in patients with cirrhosis?

A

Spironolactone.

23
Q

Fill in the blank: The action of potassium-sparing diuretics occurs primarily in the _______.

A

Distal convoluted tubule.

24
Q

What is a common reason for prescribing a potassium-sparing diuretic?

A

To prevent hypokalemia in patients taking thiazide diuretics.

25
What must be avoided when using potassium-sparing diuretics?
Potassium supplements.
26
What is the trade name for spironolactone?
Aldactone.
27
True or False: Amiloride is less effective than spironolactone in treating hypertension.
True.
28
What condition is contraindicated for eplerenone?
Severe renal impairment.
29
What type of drug interaction should be monitored with potassium-sparing diuretics?
ACE inhibitors, as they may increase potassium levels.
30
What is the main therapeutic use of amiloride?
To treat hypertension and heart failure.
31
Fill in the blank: The risk of _______ increases when potassium-sparing diuretics are combined with other medications affecting potassium levels.
Hyperkalemia.
32
What is the action of potassium-sparing diuretics on aldosterone?
They antagonize the action of aldosterone.
33
True or False: Potassium-sparing diuretics can be used to treat primary hyperaldosteronism.
True.
34
What lab tests are important for patients on potassium-sparing diuretics?
Kidney function tests and serum electrolytes.
35
What is a potential side effect of eplerenone?
Dizziness.
36
Name a risk associated with long-term use of potassium-sparing diuretics.
Chronic hyperkalemia.
37
Which potassium-sparing diuretic is preferred for patients with diabetes?
Eplerenone.
38
Fill in the blank: Potassium-sparing diuretics can cause _______ in the elderly due to decreased renal function.
Hyperkalemia.
39
What is the primary benefit of potassium-sparing diuretics over other diuretics?
They preserve potassium levels.
40
True or False: Potassium-sparing diuretics have a fast onset of action.
False.
41
What is the typical dosing frequency for spironolactone?
Once daily or twice daily.