enemmnerewrs
Medication
e
———c
STUDENT
NAME
MEDICATION
Spironolactone
CATEGORY
CLAss
Potassium-sparing
diuretics
REVIEW
MODULE
CHAPTER
PURPOSE
OF
MEDICATION
,
—
=
—
Sl
.
Expected
Pharmacological
Action
Therapeutic
Use
Inhibition
of
sodium
reabsorption
in
the
Weak
diuretic
and
antihypertensive
response
kidney
while
saving
potassium
and
hydrogen
when
compared
with
other
diuretics.
ions
[:onservation
of
potassium.
)
i)
Complications
:
Medication
Administration
CNS:
dizziness;
CV:
arrhythmias,
erectile
dysfunction,
Administer
in
AM
to
avoid
breast
tenderness,
hyperkalemia
interrupting
sleep
pattern.
Administer
with
food
or
milk
to
L
minimize
gastric
irritation
2
Contraindications/Precautions
)
N
i
Contraindicated
in:
Hypersensitivity;
Hyperkalemia;
Anuria;
Acute
renal
insufficiency;
Significant
renal
i
:
W
dysfunction
Nursing
Interventions
Use
Cautiously
in:
Hepatic
dysfunction;
monitor
1&0,
daily
weights,
monityr
BP,
assess
for
M
hyperkalemia,
assess
for
skin
rash,
.
A
Interactions
Drug-Drug:
Increased
hypotension
with
acute
ingestion
of
alcohol,
antihypertensives,
or
nitrates.
Use
with
ACE
inhibitors,
angiotensin
Il
receptor
antagonists,
NSAIDS,
potassium
supplements,
cyclosporine,
or
tacrolimus
increases
risk
of
hyperkalemia.
Effectiveness
may
be
decreased
by
NSAIDs.
may
increase
effects
of
digoxin.
e
.
-
|
Client
Education
w
avoid
salt
substitutes
and
foods
"\
|
that
contain
high
levels
of
potassium
or
sodium,
may
Increase
in
diuresis
and
decrease
in
edema
while
cause
dizziness
maintaining
serum
potassium
level
in
an
acceptable
range.
Evaluation
of
Medication
Effectiveness
AN
AL
L
ACTIVE
LEARNING
TEMPLATES
