17 results
Diuretics sites of action on the nephron
1) Acetazolamide (carbonic anhydrase inhibitor)
2) Osmotic diuretics (e.g. mannitol)
3) Loop
Diuretics sites ... Acetazolamide (carbonic ... Thiazides-type diuretics ... #pharmacology #nephrology ... #medications #sites
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
liver cirrhosis, chronic ... liver cirrhosis, chronic ... cirrhosis, and chronic ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology
Diuretics - Pharmacology

Thiazides diuretics:
 • Inhibit Na+ Cl- cotransporter in distal tubule
 • Chlorothiazide, Chlorthalidone, Indapamide,
Diuretics - Pharmacology ... Thiazides diuretics ... Triamterene Carbonic ... as no effect on sodium ... #Pharmacology #nephrology
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
- Ascites that ... despite dietary sodium ... days, Urinary sodium ... : • Renal: ↑Cr ... management #algorithm #treatment
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Management of Acute and Chronic ... in 4 mL) - IV sodium ... bicarbonate, Diuretics ... mL/min) - Oral sodium ... #treatment #nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
plasma insulin (treatment ... (carbonic anhydrase ... thiazide-like diuretics ... , Osmotic diuresis ... differential #diagnosis #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... 90 minutes) • Sodium ... function) - Loop diuretic ... management #potassium #nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
volume expansion + diuretic ... ascites. ... • Urine sodium ... Treatment Overview ... Syndrome #Hepatology #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
loop or thiazide diuretics ... pressure: Active diuretic ... settings, the urine sodium ... the excretion of sodium ... urine #Algorithm #nephrology
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
• ↑ in serum Cr ... Moderate to severe ascites ... output and/or ↓ diuretic ... diagnosis #HRS #nephrology