What is the best way to take spironolactone?
Take this medication by mouth, as directed by your doctor. If stomach upset occurs, take it with food or milk. It is best to take your dose early in the day (before 6 p.m.) to prevent having to get up during the night to urinate. Consult your doctor or pharmacist if you have any questions.
What should you check before administering spironolactone?
Check with your doctor right away if you have the following symptoms: stomach pain, confusion, difficulty with breathing, irregular heartbeat, nausea or vomiting, nervousness, numbness or tingling in the hands, feet, or lips, or weakness or heaviness of the legs.
What should I monitor with spironolactone?
The recommended monitoring for potassium and creatinine is one week after initiation or increase in dose of Aldactone, monthly for the first 3 months, then quarterly for a year, and then every 6 months. Discontinue or interrupt treatment for serum potassium > 5 mEq/L or for serum creatinine > 4 mg/dL.
When should spironolactone be taken?
Take the tablets with or just after a meal. Spironolactone is commonly prescribed just once daily and you can generally take the dose at a time to suit you. However, diuretics are best taken no later than mid-afternoon.
Should I take spironolactone once or twice a day?
Depending on the severity of their acne, Dr. Marchbein starts females on spironolactone on either 50 mg/day or 100 mg/day (once or twice a day). “Sometimes taking the medication twice a day helps with any symptoms,” says Dr.
Do I have to take spironolactone at the same time every day?
Answer: Spironolactone — Take Anytime, just make consistent this can be taken any time of the day, once or twice. I suggest following your physicians recommendations.
What are the nursing considerations for the medication spironolactone?
- Mark calendars of edema outpatients as reminders of alternate day or 3- to 5-day/wk therapy.
- Give daily doses early so that increased urination does not interfere with sleep.
- Make suspension as follows: Tablets may be pulverized and given in cherry syrup for young children.
Which of the following is a contraindication for spironolactone?
Contraindicated for patients with anuria, acute renal insufficiency, significant impairment of renal excretory function, or hyperkalemia, hyponatremia, severe renal impairment, acute renal failure, anuria, Addison’s disease, hypersensitivity to spironolactone.
What should you check before giving diuretics?
Assess patient for anorexia, muscle weakness, numbness, tingling, paresthesia, confusion, and excessive thirst. Notify health care professional promptly if these signs of electrolyte imbalance occur. Hypertension: Monitor BP and pulse before and during administration.
When should you hold a diuretic?
Do not take your diuretic before going to bed as this may cause you to get up at night to urinate. Try to take your diuretic before 6pm. If you take your diuretic twice a day, take your first dose in the morning and take the second dose 6 to 8 hours later. Do not skip your diuretic when you are away from home.
Why is spironolactone taken at night?
Spironolactone sometimes causes drowsiness, so it’s best to take at night. You can take it with or without food.
How many hours apart should I take spironolactone?
Spironolactone comes in pill form. Your pharmacy may make a liquid form if your child cannot take pills. It is usually given twice a day, about 12 hours apart.
Can I take spironolactone all at once?
Adults—At first, 25 to 100 milligrams (mg) per day, taken in either single or divided doses. Your doctor may adjust your dose as needed. However, the dose is usually not more than 100 mg per day. Children—Use and dose must be determined by your doctor.
Which side effect is associated with spironolactone?
Drowsiness, dizziness, lightheadedness, stomach upset, diarrhea, nausea, vomiting, or headache may occur. To minimize lightheadedness, get up slowly when rising from a seated or lying position. If any of these effects last or get worse, notify your doctor or pharmacist promptly.
What should you avoid while taking spironolactone?
Since spironolactone is a potassium-sparing diuretic, you should avoid taking potassium in your supplements or sports drinks and avoid eating too many high potassium foods such as papaya, cantaloupe, prune juice, honeydew melons, bananas, raisins, mangoes, kiwis, oranges, orange juice, tomatoes, tomato juice, white and …
What is a major side effect of spironolactone?
What are nursing considerations for diuretics?
Nursing Considerations Monitor weight, intake, output, and serum electrolyte levels. Monitor blood glucose levels (some agents may cause hyperglycemia). Follow blood urea nitrogen and creatinine levels regularly. Administer diuretics in the morning to prevent nocturia.
What nursing actions should be implemented when administering a diuretic?
Administer intravenous diuretics slowly to prevent severe changes in fluid and electrolytes. Administer oral form early in the day to prevent increased urination during sleep hours. Monitor patient response to drugs through vital signs, weight, serum electrolytes and hydration to evaluate effectiveness of drug therapy.
How do you administer diuretics?
Diuretic administration is usually via the oral route, but when maximum potency is required, such as in cases of advanced HF, it can be given intravenously in a hospital setting. In such situations, continuous infusion over a specified period is preferable to bolus injections.
What should I monitor before giving diuretics?
Assess fluid status throughout therapy. Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes. Assess patient for anorexia, muscle weakness, numbness, tingling, paresthesia, confusion, and excessive thirst.