ABSTRACT

This is the most widely used class of diuretics

in the management of heart failure. Loop

diuretics are actively excreted into the tubular

lumen, where they cause a potent diuresis by

blocking active chloride transport from the

thick ascending limb of the loop of Henle

Sites of diuretic action

LOOP V2 antagonist

Ksparing

Na

K

Aldosterone

NaCl thiazide

Na

Cl

H2O ADH

H2O

(Figure 5.1 ), which normally cotransports

sodium and water out of the renal tubule.