| Term 
 
        | How long does it take for Thiazide to start working? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | DCT: decreases NaCl reabsorption mild vasodilation
 ^ excretion: Na, Cl, K, H20, Mg
 t1/2= 16 hours
 Tx: chronic HT, nephorgenic diabetes insipidus, edema, pregnancy
 |  | 
        |  | 
        
        | Term 
 
        | What are the adverse effects of thiazides? |  | Definition 
 
        | hypokalemia (^ Na flow to CD, ^ Na/K exchange): arrythmias, muscle weakness, hyperuricemia, hyperglycemia (blocks insulin), hypercalcemia, hyponatremia/chloremia,magnesia, pancreatitis, high doses: ^ ldl, lower HDL |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | chlorothiazide: t1/2= 12 hours *hydrocholorthiazide: t1/2=16
 chlorothalidone (not chem a thiazide): t1/2 > 24 hrs, less potent
 |  | 
        |  | 
        
        | Term 
 
        | Which diuretics are sulfonamide derivatives? |  | Definition 
 
        | thiaides and loop diuretics |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | decrease Na/k/2Cl co-absorption in asc LOH, decrease urine excretion of uric acid Used for hypertensive emergency, acute hypercalcemia, heart failure
 |  | 
        |  | 
        
        | Term 
 
        | Which diuretics do you use to treat heart failure? |  | Definition 
 
        | loop diuretics & K-sparing |  | 
        |  | 
        
        | Term 
 
        | Which diuretic causes hypercalcemia? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which diuretic is used to treat acute hypercalcemia? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drug causes ototoxicity? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What are the loop diuretics? |  | Definition 
 
        | furosemide bemetanide
 ethacrynic acid
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | spironolactone, canrenone, triamterene, amiloride competitive inhibitors of aldosterone (decrease Na/K+ exchange)
 Used to prevent hypokalemia and heart failure
 AE: spirono- gynecomastia, alopecia, peptic ulcer, triamterene- leg cramps
 hyperkalemia->MI (do not give w/ACEi's)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | hypertonic solution used to draw fluids out of cells used for CNS trauma and intraocular pressure
 C/I: CHF (can increase edema)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | PO/IV: weak diuretic carbonic anhydrase inhibitor (increases bicarb excretion)
 used for glaucoma
 AE: metabolic acidosis, renal stones, hypokalemia
 |  | 
        |  | 
        
        | Term 
 
        | What drug is used for glaucoma? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What drug is used for CNS trauma or ^ intraocular pressure? |  | Definition 
 | 
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