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GU 1 Norm Renal Fn

Normal Renal Function and Diuretics

QuestionAnswer
What is the catalyst for bicarb resorption into the proximal convoluted tubule? Carbonic anhydrase
Why are loop diuretics so effective in treating pulmonary edema 2/2 fluid overload? They have direct pulmonary vasodilatory activity
What is the tx for acromegaly? Transphenoidal resection= #1 option. Also octreotide, cabergoline, pegvisomant, or external beam radiation.
A pt with cirrhosis presents to the ER to have his recurrent ascites drained. Analysis of the ascites fluid reveals an absolute neutrophil count >250cells/mm3. What is the dx? SBP
What are the protein and LDH criteria for an exudative pleural effusion? Pleural:serum protein ratio >0.5 Pleural:serum LDH ratio >0.6
What type of diuretic is triamterene? K sparing
What type of diuretic is acetazolamide? carbonic anhydrase inhibitor
What type of diuretic is HTZ? thiazide
What type of diuretic is bumetanide? loop
What type of diuretic is spironolactone? K sparing, aldosterone antag
What type of diuretic is chlorothiazide? thiazide
What type of diuretic is ethacrynic acid? non-sulfa loop
What type of diuretic is mannitol? osmotic
What type of diuretic is metolazone? thiazide (can be used to tx cirrhotic ascites). HY!
What type of diuretic is furosemide? loop
What type of diuretic is amiloride? K-sparing
What type of diuretic is torsemide? loop
What is the best diuretic (or diuretic class) for each situation?: acute pulmonary edema loops (LMNOP)
What is the best diuretic (or diuretic class) for each situation?: idiopathic hypercalciURIA causing calcium stones thiazides (hold onto calcium)
What is the best diuretic (or diuretic class) for each situation?: glaucoma mannitol or acetazolamide
What is the best diuretic (or diuretic class) for each situation?: mild to moderate CHF with expanded ECV Loops (increase dose to decrease volume), spironolactone
What is the best diuretic (or diuretic class) for each situation?: in conjunction with loop or thiazide diuretics to retain K spironolactone
What is the best diuretic (or diuretic class) for each situation?: edema a/w nephrotic syndrome loop
What is the best diuretic (or diuretic class) for each situation?: increased intracranial pressure mannitol
What is the best diuretic (or diuretic class) for each situation?: mild to moderate HTN thiazide
What is the best diuretic (or diuretic class) for each situation?: hypercalcemia loop
What is the best diuretic (or diuretic class) for each situation?: altitude sickness acetazolamide
What is the best diuretic (or diuretic class) for each situation?: hyperaldosteronism spironolactone or eplerenone
Created by: sarah3148