Diuretics – Definition?
Drugs that ↑ urine output by acting on kidneys → remove excess fluid & salts.
Classification of Diuretics (with examples)?
MOA of Diuretics?
Drug intake → Acts on nephron site → Inhibits electrolyte reabsorption → ↑ Na⁺ & water excretion → ↓ Blood volume → ↓ BP / edema
Indications of Diuretics?
Hypertension | Edema (CHF, renal, hepatic) | Acute pulmonary edema | Raised ICP (Mannitol) | Glaucoma (Acetazolamide)
Contraindications of Diuretics?
Severe dehydration | Anuria | Electrolyte imbalance | Hepatic coma (spironolactone caution)
Side effects of Diuretics?
Hypokalemia (loop, thiazide) | Hyperkalemia (spironolactone) | Hypotension | Dehydration | Metabolic acidosis/alkalosis