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Spironolactone

Spironolactone is a potassium-sparing diuretic prescribed to treat edema associated with congestive heart failure, hepatic cirrhosis, and nephritic syndrome. It works by promoting sodium and chloride excretion without loss of potassium. Major side effects include fatigue, nausea, vomiting, and electrolyte imbalances. When taking spironolactone, patients should be monitored for blood pressure, serum electrolytes, signs of fluid imbalance, and mental changes and notified not to replace fluid losses with excessive water or consume high potassium foods.

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Ninoska Garcia-Ortiz
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6K views2 pages

Spironolactone

Spironolactone is a potassium-sparing diuretic prescribed to treat edema associated with congestive heart failure, hepatic cirrhosis, and nephritic syndrome. It works by promoting sodium and chloride excretion without loss of potassium. Major side effects include fatigue, nausea, vomiting, and electrolyte imbalances. When taking spironolactone, patients should be monitored for blood pressure, serum electrolytes, signs of fluid imbalance, and mental changes and notified not to replace fluid losses with excessive water or consume high potassium foods.

Uploaded by

Ninoska Garcia-Ortiz
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SPIRONOLACTONE

1. Name & class of drug – generic and trade name.

GENERIC NAME: Aldactone, Novospiroton


BRAND NAME: Spironolactone
CLASSIFICATION: Electrolyte and water balance agent; potassium sparing diuretic

2. Dose range and routes for adult & geriatric client.

PREPARATIONS: PO – (25, 50, 100) mg tablets

DOSING: Edema – 25 – 200 mg/d in divided doses, continued for atleast 5 daysd

3. Purpose prescribed. Underline reason your client is prescribed drug.

THERAPEUTIC EFFECTS: a diuretic agent that promote sodium and chloride excretion without concomitant loss of K+.

USES: clinical conditions associated with augmented aldosterone production, as in essential hypertension, refractory edema
due to CHF, hepatic cirrhosis, nephritic syndrome and idiopathic edema

4. Major side effects & drug interactions.

DRUG INTERACTIONS: combination of spironolactone and acidifying doses of ammonium chloride may produce systemic
acidosis. Effects may be antagonized by aspirin and other salicylates. Digoxin should be monitored for decreased effect.
Hypokalemia may result with K+ supplements, ACE inhibitors, ARBS. May alter antiocoagulant response in warfarin. Salt
subs may increase risk of hyperkalemia

SIDE EFFECTS: lethargy, mental confusion, fatigue, N/V, abd cramps, fluid and electrolyte imbalance
5. Nursing Implications & teaching.

IMPLICATIONS:
• Check blood pressure before initiation of therapy
• Monitor serum electrolytes
• Assess for signs for fluid electrolyte imbalance
• Monitor daily I&O, check for edema
• Weigh pt under standard conditions, and daily once therapy commences
• Observe for and report immediately the onset of mental changes

TEACHING:
• Max diuretic effect may not occur until third day of therapy, diuresis may continue 2-3 days after d/c
• Avoid replacing fluid losses with large amounts of free water
• Weigh 2 – 3 times weekly
• Avoid intake of high potassium foods and salt substitutes

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