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Pharmacology - Diuretics - Part 1/3
(0:00-2:15)
Defining Diuresis & Natriuresis; Diuretic & Natriuretic agents.
(2:18-7:14)
Defining & describing basic structure of Nephron; normal functioning; Bowman’s Capsule, Proximal Convoluted Tubule (PCT), Loop of Henle (LOH), Distal Convoluted Tubule (DCT) & Collecting Tubule (CT).
(7:16-16:30)
Normal functioning of nephron; Urine formation; Importance of the processes of Filtration, Reabsorption & Active secretion.
Relationship b/w Cardiac Output (CO) and Renal Blood Flow (RBF); b/w RBF & Renal Plasma Flow (RPF); b/w Glomerular Plasma Flow (GPF) & Filtration.
Plasma flow per minute through renal Glomerulus/Bowman’s Capsule; Glomerular Filtration Rate (GFR).
(16:35-31:44)
Concepts of Filtrate, Tubular fluid etc.
Final Urine Volume; percentage of fluid reabsorbed by nephron; Urine Output, normal & abnormal; Oliguria & Polyuria.
Nephron as “master processor“; Acid-base balance, electrolyte balance.
Drugs; Diuretics; work by altering normal mechanisms of reabsorption along the nephron.
(31:51-42:40)
1-Role of PCT, 2-Role of Thick Ascending Loop of Henle (TALOH), 3-Role of DCT, 4-Role of CT.
Role of PCT; Basolateral & Luminal sides of nephron cells; Reabsorption of HCO3-/alkali; maintaining acid-base balance.
(42:42-1:00:22)
PCT continued: Na H Counter-transporter in luminal membrane; Na K ATPases/Pumps in basolateral membrane.
H2CO3(Carbonic Acid), HCO3-(Bicarbonate) & H ; Luminal Carbonic Anhydrase enzyme (CAE) & Cytosolic/Intracellular CAE.
CAE blocking drugs; [Acetazolamide]; Natriuresis, Bicarbonate Uresis & Diuresis; Alkaline uresis & Acidemia.
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