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