Spironolactone

Mechanism of Action

Acts on aldosterone antagonist which blocks the aldosterone in the distal tubule

Indications

Hyperaldosteronism, used as adjuncts with thiazide or loop diuretics in patients who are especially at risk of hypotension

Contra-indications

Lactation

Side Effects

Hyperkalemia

Route of Administration

Orally

Storage

Room temperature

Causes the loss of sodium while the retention of potassium.

Anemia

Renal disease

Pregnancy

Hyperkalemia

Lethargy

Arrhythmia

Nursing Considerations

Monitor electrolyte balance through blood tests

Assess level of consciousness

Monitor vital signs blood pressure, pulse

Assess skin turgor to detect dehydration

Intravenous fluid replace to maintain sodium and potassium levels

Triamterene

Route of Administration

Mechanism of Action

Contra-indication

Indications

Side Effects

Nursing Consideration

Storage

Idiopathathic edema

Cirrhosis of the liver

Nephrotic syndrome

Steriod induced edema

Inhibits epithelial sodium channels on the distal convoluted tubule and the collecting ducts which are transmembrane channels that normally promote sodium uptake and potassium secretion

Exerts diuretic effect of the distal tubules to inhibit reabsorption of sodium ions in exchange for potassium

Room Temperature

Orally

Hyperkalemia

Nausea

Vomiting

Weakness

Hypotension

Grastro-intestinal disturbunces

Monitor the output and intake of fluids

Monitor electrolyte imbalance through blood tests

Assess alteration of skin turgor, muscle functionality, level of consciousness

Monitor vital signs

Lactation

Pregnancy

Renal disease

Pulmonary edema

POTASSIUM SPARING DIURETICS