potassium sparing diuretic spironolactone (aladactone) Flashcards

1
Q

what is the use of spironolactone

A

hypertension
edema caused by HF
cirrhosis of liver
nephrotic syndrome

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2
Q

adverse reactions of spironolactone

A

menstrual irregularities
growth of hair on face
deepening of voice in females
breast enlargement
impotence in men

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3
Q

what should be monitored when on spironolactone

A

monitor serum potassium

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4
Q

if hyperkalemia occurs when on spironolactone what should you monitor for

A

monitor for cardiac dysrhythmias

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5
Q

what can spironolactone be combined with to maintain normal potassium levels

A

loop diuretic or thiazide

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6
Q

what should be reported when on spironolactone

A

palpitations irregular pulse other signs of hyperkalemia

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7
Q

what should be avoided when on spironolactone

A

avoid potassium supplements high potassium foods salt substitutions

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8
Q

contraindications for spironolactone

A

teratogenic

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9
Q

interactions with spironolactone

A

ARBs; ACE inhibitors
alcohol nitrates other antihypertensives

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10
Q

ARBs and ace inhibitors increase what risk when taking spironolactone

A

increase for hyperkalemia

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11
Q

alcohol nitrates and other antihypertensives increase the risk for what when on spironolactone

A

hypotension if used concurrently

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