Pharmacology: Diuretics and Inotropic Agents
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Pharmacology: Diuretics and Inotropic Agents

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Questions and Answers

What is a primary mechanism of action of potassium-sparing diuretics such as spironolactone?

  • Inhibiting sodium reabsorption in the kidneys
  • Stimulating potassium secretion
  • Increasing calcium absorption
  • Blocking aldosterone (correct)
  • What is a potential side effect of using potassium-sparing diuretics?

  • Dehydration
  • Hypertension
  • Hyperkalemia (correct)
  • Hypokalemia
  • Which drug class is primarily indicated for heart failure with reduced ejection fraction?

  • Calcium channel blockers
  • Potassium-sparing diuretics
  • ACE inhibitors
  • Phosphodiesterase inhibitors (correct)
  • What is a common adverse effect associated with phosphodiesterase inhibitors?

    <p>Hypotension</p> Signup and view all the answers

    Which condition is NOT typically treated with potassium-sparing diuretics?

    <p>Diabetes insipidus</p> Signup and view all the answers

    Study Notes

    Potassium Sparing Diuretics (Aldosterone Antagonists)

    • Spironolactone and Digoxin (Lanoxin) are examples of potassium-sparing diuretics that block aldosterone.
    • Aldosterone is a hormone that increases sodium and water reabsorption in the kidneys.
    • By blocking aldosterone, these medications promote potassium retention and increase sodium and water excretion.
    • They are indicated for hypertension, edema, and heart failure.
    • Common side effect - Hyperkalemia
    • Caution should be exercised when administering these medications with drugs that also increase potassium levels.

    Inotropic Agents

    • Amrinone and Milrinone are inotropic agents that increase the force of heart contractions.
    • Their mechanism of action involves inhibiting phosphodiesterase, which leads to an increase in intracellular calcium.
    • Increased calcium levels result in enhanced myocardial contractility and vasodilation.
    • They are indicated for heart failure with reduced ejection fraction (EF).
    • Common side effects - Dysrhythmias and hypotension

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    Description

    Explore the key concepts of potassium-sparing diuretics, such as spironolactone and digoxin, along with inotropic agents like amrinone and milrinone. This quiz covers their mechanisms of action, indications, and potential side effects, focusing on their roles in treating conditions like hypertension and heart failure.

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