Spironolactone med temp PDF

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ACTIVE LEARNING TEMPLATE:

Medication

Diaz ST UDENT NAME Cristina _____________________________________ (aldactone) MEDICATION spironolactone __________________________________________________________________________

REVIEW MODULE CHAPTER 4/6/21 ___________

diuretics CATEGORY CLASS potassium-sparing ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Causes loss of sodium bicarbonate and calcium while saving potassium and hydrogen ions by antagonizing aldosterone.

Therapeutic Use Weak diuretic and antihypertensive response when compared with other diuretics. Conservation of potassium

Complications hyperkalemia, DRUG RASH WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS (DRESS), STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS

Medication Administration PO

Contraindications/Precautions Hypersensitivity, Anuria, Acute renal insufficiency, Significant renal impairment, Hyperkalemia, Addison's disease, Concurrent use of eplerenone.

Nursing Interventions Excess fluid volume

Interactions Use with eplerenone, ACE inhibitors, NSAIDs, potassium supplements, angiotensin II receptor antagonists, potassium-sparing diuretics, angiotensin converting enzyme inhibitors, or cyclosporine ↑ risk of hyperkalemia. Client Education Evaluation of Medication Effectiveness Increase in diuresis and decrease in edema while maintaining serum potassium level in an acceptable range.

ACTIVE LEARNING TEMPLATES

Emphasize the importance of continuing to take this medication, even if feeling well. Instruct patient to take medication at the same time each day.

THERAPEU TIC P ROCEDURE

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