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Pharmacology Kidney 1e534520

At equally natriuretic doses, which of the following drugs causes maximum potassium excretion?

A
Spironolactone
B
Furosemide
C
Acetazolamide
D
Aldosterone
High-Yield Explanation
CA inhibitors like acetazolamide decrease the secretion of H+ in the distal tubules and collecting ducts. Due to less reabsorption of sodium in the PCT, more is delivered to the distal tubules (DT). Na+ is exchanged with K+ and H+. At equally natriuretic doses, K+ excretion is maximum with CA inhibitors because Na+ delivered to the distal tubules is exchanged only with K+ (excretion of H+ is inhibited by these drugs).

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