A patient with cirrhosis is prescribed spironolactone for fluid retention. Which laboratory value is especially important to monitor?
Correct answer: A. Serum potassium
- A. Serum potassium
- B. Serum calcium
- C. Haemoglobin level
- D. Blood amylase
Explanation
Spironolactone is a potassium-sparing diuretic, so hyperkalaemia is an important adverse effect to detect. Potassium monitoring is particularly important when renal function is reduced or other potassium-raising medicines are used.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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