Generic spironolactone

Trade ALDACTONE

Classification diuretics

Indications: Counteract potassium loss caused by other diuretics Action: Inhibits the reabsorption of sodium, while saving potassium and hydrogen ions Dosage: PO Adult: Edema 25-200mg da! gi"en in #-2 doses $TN 50-#00mg da! gi"en in #-2 doses Diurectic-induces %!po&alemia 25-#00mg da! in #-2 doses Ad"erse 'eactions side e((ects: hyperkalemia, hyponatremia Nursing Considerations: 1. Assess fluid status. onitor daily weight and I!" #atios, $dema, lung sounds, skin turgor and mucous membranes. %. onitor &'(, (ulse before and during administration. ). onitor patient for signs and symptoms of hypokalemia *weakness, fatigue, arrhythmias, polyuria, polydipsia+, or for hyperkalemia *paresthesia, confusion, dyspnea+. ,. Administer in A to avoid sleep disturbance. -. Take with food or milk to minimi.e irritation

Patient Teac%ing 1. Instruct patient on the importance of taking same time each day. %. To take until all used, even if feeling better ). Take missed doses as soon as possible/ 0" 1"T 0&2 0"3$. ,. 1otify 0r. of medication before any other treatment or surgery -. Avoid salt substitutes and high levels pf potassium with out 0r4s advice. 5. Consult 6ealth Care professional about diet, and any "TC medications while on therapy. 7. Advise patient to use sunscreen and protective clothing. 8. ay cause di..iness, avoid driving or activities that re9uire alertness until response to medication is known. :. 1otify 0r. immediately if muscle weakness, cramps, nausea, di..iness, numbness or tingling of e;tremities occurs. 1<. 0iabetic patient to monitor blood glucose closely. 11. Importance of routine follow=up e;ams.