UNIT 7 Potassium Sparing Diuretic CHAPTER 41

Question 1

What drug class is Spirinoloactone

Answer 1

Potassium Sparing Diueretic

DO NOT USE WITH ACE AND ARBS

Question 2

Action of Spirinolactone

Answer 2

ACTION
* BLOCKS ACTION OF ALDOSTERONE
* BECAUSE OF BLOCKING ALDOSTERONE, THE RENAL
TUBULES PROMOTE SODIUM AND WATER EXCRETION AND
POTASSIUM RETENTION
* ALSO EXCRETES MAGNESIUM, CALCIUM – CAN INCREASE
BLOOD GLUCOSE

• USES
• HEART FAILURE
• HEPATIC CIRRHOSIS

Question 3

SIDE AND ADVERSE EFFECT

Answer 3

POTASSIUM-SPARING DIURETICS
SPIRONOLACTONE
* SIDE EFFECTS/ADVERSE REACTIONS
* GI DISTRESS, DIZZINESS, WEAKNESS
* ERECTILE DYSFUNCTION

ADVERSE
* ORTHOSTATIC HYPOTENSION, HYPOTENSION
* FLUID AND ELECTROLYTE IMBALANCE
* HYPERKALEMIA

Question 4

Contraindications of Spirnolactone

Answer 4

CONTRAINDICATIONS
* SEVERE KIDNEY/RENAL DISEASE
* HYPERKALEMIA
* INTERACTIONS
* POTASSIUM SUPPLEMENTS
* ACE INHIBITORS AND ANGIOTENSIN 2 RECEPTOR BLOCKERS
* SALT SUBSTITUTES CONTAINING POTASSIUM

Question 5

PT TEACHING DIURETICS

Answer 5

TEACHING
* TAKE BP BEFORE DOSE
* WEIGH SELF DAILY – REPORT GAIN OF 2 # OVERNIGHT OR 5 # IN
WEEK
* TAKE MEDICATION IN THE MORNING
* OK TO TAKE WITH FOOD IF GI UPSET OCCURS
* STAY OUT OF SUN WITH PHOTOSENSITIVITY
* TEACH TO GET UP SLOWLY
* REINFORCE NEED FOR MEDICATION AND TO COMPLIANCE
* DIET – K WASTING – INCREASE POTASSIUM, POTASSIUM
SUPPLEMENT, IF PATIENT ON DIGOXIN, ESPECIALLY IMPORTANT
* DIET – K SPARING – DECREASE POTASSIUM
* TEACH THAT DRUGS CAN INCREASE GLUCOSE SO HCP WILL
MONITOR BLOOD GLUCOSE