Renal Pharmacology Flashcards

1
Q

What are the treatments for small kidney stones?

A
  • Drink considerable water
  • Dietary changes
  • OTC analgesics
  • Tamusolin (Floxmax)
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2
Q

What is the treatment of r large kidney stones?

A
  • Lithotripsy (Shock wave treatment)
  • Surgical removal
  • Opioid analgesics for pain
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3
Q

What type of stones are most kidney stones?

A

-Calciumoxylate

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4
Q

What causes a struvite stone?

A

-Magnesium ammonium phosphate cystals often associated with urinary infections

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5
Q

What is the only type of stone where treatment is to acidify urine?

A

-Struvite stones

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6
Q

What do you typically do to the urine to treat kidney stones?

A

-Alkalinize

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7
Q

What are medications given to treat kidney stones?

A
  • Hydrochlorothiazide
  • Sodium bicarbonate
  • Allopurinol
  • Trimethoprim-sulfmethoxazole
  • Acetohydroxamic acid
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8
Q

What do you use to treat uric acid stones?

A

-Allopurinol (also used for gout)

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9
Q

What do you use to treat struvite stones?

A
  • Acetohydroxamid acid

- Trimethoprim-sulfmethoxazole

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10
Q

What does hydrochlorothiazide do?

A

-Reduce calcium in urine

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11
Q

What does sodium bicarbonate do?

A

-alkalinizes urine

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12
Q

What does Allopurinol do?

A

-Reduce uric acid secretion and is also used for gout

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13
Q

What are UTIs caused by?

A

-E. coli

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14
Q

What do UTIs include?

A
  • Cystitis

- Urethritis

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15
Q

What is common treatment for UTIs?

A
  • Trimethoprim-sulfamethoxazole
  • Amoxicillin + clavulanic acid
  • Ciprofloxacin
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16
Q

What is the preferred treatment for uncomplicated acute bacterial cystitis?

A

-Trimethoprim-sulfamethoxazole

17
Q

What are drugs commonly used for people receiving hemodialysis?

A
  • Atenolol
  • Captopril
  • Heparin
  • Furosemide
  • Prophylactic antibiotics
18
Q

What is atenolol and captopril used for in treating a pt on hemodialysis?

A

-Hypertension

19
Q

What is Heparin used for in treating a pt on hemodialysis?

A

-Prevent clotting in blood passed through dialysis machine

20
Q

What is Furosemide used for in treating a pt on hemodialysis?

A

-Potent diuretic that reduces fluid retention and the amount of fluid that needs to be removed by the dialysis

21
Q

What are the dental concerns for a pt taking renal drugs?

A
  • Higher incidence of periodontal disease

- Prophylactic antibiotics prior to surgical dental procedures