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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
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11, 12, 16
|
|
AA & KS Counselling
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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
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Primary hyperaldosteronism
Oedema |
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Amiloride Indications
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Prevention of diureticinduced hypokalaemia
|
|
AA & KS Monitoring
|
K levels
Na Levels BP |
|
Loop Diuretics
|
Frusemide
|
|
Frusemide Indications
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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 |
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Frusemide Labels
|
16
|
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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 |
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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
|