A patient who takes an ACE inhibitor and a thiazide diuretic for hypertension will begin taking spironolactone. The primary care NP should counsel this patient to:
a. avoid foods that are high in potassium.
b. use a salt substitute when seasoning foods.
c. discuss changing the ACE inhibitor to an ARB with the cardiologist.
d. avoid taking antacids containing magnesium while taking these drugs.
A
Use of potassium-sparing diuretics or salt substitutes can induce hyperkalemia when taking ACE inhibitors, so this patient should be counseled to restrict potassium. Salt substitutes are high in potassium and are contraindicated. It is not necessary to change to an ARB. Antacids are not contraindicated.
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