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22 Cards in this Set

  • Front
  • Back
Aldosterone Antagonists & K Sparing Diuretics
Spironolactone
Amiloride
AA & KS SE
hyperkalaemia
hyponatraemia
hypocholoraemia
(esp when combined with thiazide diuretic)
impotence
weakness
headache
n/v
+ gynaecomastia, mastalgia, menstrual irregularities, agranulocytosis (S)
AA & KS Labels
11, 12, 16
AA & KS Counselling
Risk of hyperkalaemia when used in combination with other drugs which can increase potassium concentration – ACEI, AT2RA, NSAIDS, potassium supplements, cyclosporin
! Caution in patients with renal disease
AA & KS CI
Hyperkalaemia,
renal failure
Spironolactone Indications
Primary hyperaldosteronism
Oedema
Amiloride Indications
Prevention of diureticinduced hypokalaemia
AA & KS Monitoring
K levels
Na Levels
BP
Loop Diuretics
Frusemide
Frusemide Indications
Oedema associated with heart failure, hepatic cirrhosis, renal impairment and nephrotic syndrome.
Severe hypercalcaemia (with adequate hydration)
Frusemide CI
allergy, severe sodium
and fluid depletion, anuria
Frusemide SE
hypokalaemia
hyponatraemia
hypomagnesaemia
hypocalaemia
dehydration
dizziness
orthostatic hypotension
hyperuricaemia, gout
hyperglycaemia
dyslipidaemia
tinnitus, vertigo, deafness due to changes in the electrolyte composition of the endolymph
Frusemide Labels
16
Frusemide Counselling
- This medicine is usually taken once daily in the morning. If you are taking it twice a day, take the first dose in the morning and the second dose no later than 6 pm (so as to avoid nocturnal enuresis).
! If you experience any loss of hearing or ringing of ears, seek medical advice.
Frusemide Monitoring
- weight
- electrolytes (K, Na, Hyperuricaemia)
Thiazide Diuretics
Hydrochlorothiazide
Indapamide
Thiazide Diuretics Indications
Hypertension
Oedema associated with heart failure or hepatic cirrhosis
Thiazide Diuretics CI
severe renal disease,
Addison’s disease,
anuria
Thiazide Diuretics SE
postural hypotension
dizziness
weakness
muscle cramps
polyuria
hypokalaemia
hyponatraemia
hypochloraemic alkalosis
hyperuricaemia
hyperglycaemia
dyslipidaemia
blurred vision
impotence
Thiazide Diuretics Counselling Points Labels
16
This medicine is usually taken once daily in the morning. If you are taking it twice a day, take the first dose in the morning and the second dose no later than 6 pm
- caution in patients with gout, diabetes, dyslipidaemia
Thiazide Diuretics Monitoring
BP
electrolytes
hypokalemia
hyponatremia
Thiazide Diuretics Labels
16