18 Adlosterone Antagonists (potassium sparing) Diuretics

Adlosterone Antagonists (potassium sparing) example

Spironolactone and Eplerenone

Spironolactone and Eplerenone use

heart failure (improve survival), HTN

Spironolactone and Eplerenone effects on the body

mild diuresis (pee), slow onset, raise K, slows scarring of heart

Spironolactone and Eplerenone do not give if (contraindicated)

hyperkalemia, severe kidney disease, addisons disease

Spironolactone and Eplerenone side effects

Spironolactone: _____

Eplerenone: fewer _____ effects

breast tenderness, hormone

Spironolactone and Eplerenone major adverse effect

hyperkalemia (high K causing weakness, slow pulse)

Spironolactone and Eplerenone give and check

Oral, once or twice daily, _____ food

Check _____ and _____ tests; hold and call if [redacted] > 5.0

with, K, kidney

Spironolactone and Eplerenone client education

no salt substitutes or K supplements, keep lab visits

Spironolactone and Eplerenone client reports what

weakness or slow pulse

ok

Spironolactone and Eplerenone Recognize Cues:

K+ 3.3 on furosemide; mild edema

ok

ok

Spironolactone and Eplerenone Take Action:

Check K+, creatinine; hold if K+ > 5.0

ok