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DIURETICS
Picture1 - Coggle Diagram
DIURETICS
THE URINARY SYSTEM (RENAL SYSTEM)
Consist of:
kidneys, renal pelvis, ureters, bladder, and urethra.
STRUCTURAL UNIT IS NEPHRON
- A nephron is the basic unit of the kidney responsible for producing urine.
- approximately 1,000,000 in each kidney
Composed of several segments: the glomerulus, the proximal convoluted tubule, the loop of Henle, the distal convoluted tubule and the collecting duct.
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Renal Tubule
Proximal Convoluted Tubule (PCT): The first part where water, nutrients, and ions are reabsorbed into the blood.
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Distal Convoluted Tubule (DCT): Regulates reabsorption of sodium, water, and calcium under hormonal control.
Collecting Duct: Final section where water and ions are balanced before urine is sent to the bladder.
How the Nephron Works?
FILTRATION
REABSORPTION
SECRETION
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Waste products, drugs, and excess ions are added to the filtrate in the tubules.
Useful substances (e.g., water, glucose, ions) are absorbed back into the bloodstream in the PCT, Loop of Henle, and DCT.
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Blood enters the glomerulus, and small molecules (like water, glucose, and salts) pass into Bowman's capsule, forming filtrate. Large molecules (e.g., proteins, red blood cells) stay in the blood.
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Diuretics Resistance
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CAUSED BY:
- Incomplete treatment of the primary disorder
- High Na+ intake (salt)
- Interference of other drug (NSAID)
- Fail to reach tubule due to incomplete absorption and nephrotic syndrome.
- Tubular adaptation (chronic loop diuretic use)
- Non Compliance