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Renal
Pharmacology
23
Pharmacology
Graduate
01/17/2014

Additional Pharmacology Flashcards

 


 

Cards

Term
ACEI MOA
Definition
inhibits ACE so dec ATII and prevents inactivation of bradykinin
Term
ACEI clinical use
Definition
HTN + DM, CHF
Term
prevent unfavorable heart remodeling as a result of chronic HTN
Definition
ACEI
Term
ACEI toxicity
Definition
cough, angioedema, proteinuria, tase changes, hypotension, teratogenic, rash, inc renin, low AII, hyperkalemia
Term
whey avoid ACEI in BL renal artery stenosis
Definition
significantly dec GFR by preventing constriction of efferent arterioles -> inc serum Cr
Term
ARB MOA
Definition
block ATII receptors
Term
ARB clinical use
Definition
HTN + DM, post-MI, HTN
Term
ARB toxicity
Definition
teratogen, hyperkalemia, inc CR; NO COUGH
Term
aliskirin MOA
Definition
inhibits renin
Term
aliskirin moA
Definition
only HTN
Term
mannitol
- MOA
- use
- toxicity
Definition
- osmotic; inc tubular osmolarity
- sock, drug OD, inc intracranail/inraocular pressure
- pulmonary edema, dehydration, CI in anuria and CHF
Term
acetazolamide
- MOA
- use
- toxiity
Definition
- CA inhibitor
- glaucoma, urinary alkalinization, metabolic alkalosis, altitude sickness
- hyperchloremc metabolic acidosis, NH3 toxicity, sulfa allergy
Term
furosemide
- MOA
- use
- toxicity
Definition
- inhibits Na/K/2Cl; stimualtes PGE release; inhibited by NSAIDS
- CHF, cirrhosis, nephrotic, pulmonary edema, HTN, hypercalcemia
- Ototoxic, hypokalemia, dehydration, allergy, nephritis, gout
Term
ethacrynic acid
- MOA
- use
Definition
- same as furosemide but not sulfonamide
- diuresis with pt with sulfa allergy
Term
HCTZ
- MOA
- use
- toxicity
Definition
- inhibits NaCl reabsorption, dec Ca excretion
- HTN, CHF, hypercalciuria, nephrogenic DI
- hyper glycemia, lipidemia, uriceia and calcemia; sulfa allergy
Term
K sparing aldosterone R antagonists
Definition
spironolactone and eplerenone
Term
K sparing block Na channels
Definition
triamterene and amiloride
Term
K-sparing diuretics
- MOA
- use
- toxicity
Definition
- aldosterone antag or inihibit Na in CCT
- hyperaldosteronism, K deplesion, CHF
- hyperkalemia, gynecomastia, antiandroen effects
Term
diuretic effects on NaCl
Definition
ind with all
Term
diuretics effect on K
Definition
all inc except K sparing
Term
diuretics leading to acidosis
Definition
CA inhibitors and K sparing
Term
diuretics causing alkalosis
Definition
loops and thiazides
- volume contraction -> in ATII -> inc Na/H exchang ein PT -> inc HCO3; K loss -> K exiting all cells in exchange for H; H exchange for Na in CCT -> alkalosis
Term
effects on calcium with diuretics
Definition
inc with loops, dec with thiazides
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