NORFOLK STATE UNIVERSITY DEPARTMENT OF NURSING NAME: Contrina Roberts DATE: October 12, 2011 MEDICATION WORK SHEET

1. Medication Name: Generic: Spironolactone Trade: Aldactone 2. Medication Classification: Potassium-sparing diurectics 3. Medication Dose: 100-200 mg PO/d for edema;100-400 mg/d PO for hyperaldosteronism;50-100 mg/d PO for hypertension; peds: 3.3 mg/kg/d 4. Medication Route: PO injection If IM or SQ route, list appropriate site for

5.

If IV route is it: IV Piggyback ______ IV Push ____ IV Additive ______ How fast should the IV medication be administered?

6. What is the therapeutic action and indication for this medication? Causes loss of sodium bicarbonate and calcium while saving potassium and hydrogen. Weak diuretic hypertensive response when com[pared with other diuretics. 7. List nursing considerations for patients receiving this medication :Hypersensitivity, signs and symptoms of edema, cardiac status, BP, weight, I&O, laboratory tests. 8. Are there any lab results that should be reviewed related to this medication? Y _X _ N ___. If yes, name them: electrolytes,uric acid, glucose 9. List at least 5 facts about this medication that should be included in the Patient/Family Education: a. Importance of taking as directed

b. c. d. e.

May cause dizziness Avoid salt substitutes Possible side effects No OTC drugs without physicians permission

10. List at least 5 side effects of the medication:

a. b. c. d. e.

dizziness clumsiness headache constipation stomach irritation

11. List at least 5 adverse effects of the medication: a. arrhythmias b. sudden drop in fluid levels c. hypotension d. confusion e. vomiting