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Chapter 74 Fluid and Electrolyte Disorders Sample Questions

1. A CHF patient currently using spironolactone is given an additional medication, Amiodarone by his doctor. What should be monitored for electrolytes?
  1. A. Hyperkalemia
  2. B. Hypomagnesemia
  3. C. Hypocalcemia
  4. D. Hypernatremia
Answer
Ans: A
Tips: CTC. Spironolactone is a potassium-sparing diuretic that can cause increase in potassium level in the body. Potassium level is measured before initiating therapy as it should be withheld if baseline potassium is >5 mmol/L. Continuous monitoring of potassium level is recommended at 3 and 7 days following initiation or titration of dose and repeated as necessary until the potassium level and renal function are stablein CHF patients.
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