Patient was educated on precautions to be exercised while taking Spironolactone as follows: Spironolactone causes loss of sodium from the body and result in hyponatremia. Patients can present with nausea and vomiting, extreme lethargy, muscle cramps, weakness, and fatigue secondary to very low sodium levels in the body. Be aware of these symptoms and report them to the physician without delay. Observe compliance with regular lab work ordered. Since the drug can lead to reduced [...]

Patient was educated on precautions to be exercised while taking Spironolactone as follows: Drink 2.5 liters to 3 liters of fluid every day, as Spironolactone tends to cause loss of fluid volume and consequently, dehydration. If fluid is restricted in an individual for reasons, such as, congestive heart failure or dialysis dependent status, compliance to the recommendation made is very important. Be aware of signs and symptoms of dehydration and hypotension, to avoid any episodes [...]

Patient was educated on the side effects of using Spironolactone as follows: Symptoms of hypotension and dehydration, such as dry mouth, feeling dizzy and lightheaded with rapid heart rate can occur secondary to loss of fluid volume. Nausea and vomiting, extreme lethargy, muscle cramps, weakness, and fatigue secondary to increased sodium loss from the body. Heart palpitations, cardiac arrhythmias, muscle weakness, and fatigue secondary to increase in potassium levels in the body. Spironolactone can result [...]

Patient was educated on contraindications for using Spironolactone as follows: Avoid using Spironolactone along with any drugs that can result in increasing potassium levels in blood, such as Captopril (ACE inhibitors) and Valsartan (Angiotensin receptor blockers). Using these medications together can result in dangerously elevated potassium levels in the body and can result in conduction disturbances in the heart and heart block. Spironolactone is mainly metabolized in the liver. If liver function is deficient, the [...]

Patient was educated on how to take Spironolactone as follows: Take the medication at the same time every day, to avoid forgetting the medication. Take Spironolactone during the day time hours and avoid having it during the night. As this medication increases the frequency of urination, taking this during the late evening hours can disturb the sleep. Maintain strict compliance with intake of Spironolactone as ordered, with regards to dosage and frequency, to derive the [...]