A client is diagnosed with medication-induced hypoaldosteronism. The nurse will assess the client's medication history for which drug use?
Standard Text: Select all that apply.
1. Beta blockers
2. NSAIDs
3. Calcium channel blockers
4. Angiotensin-converting enzyme inhibitors
5. Nitrites
Correct Answer: 1,2,3,4
Rationale 1: Beta blockers may reduce renin serum levels and suppress the stimulation of aldosterone secretion.
Rationale 2: NSAIDs may reduce renin serum levels and suppress the stimulation of aldosterone secretion.
Rationale 3: Calcium channel blockers may reduce renin serum levels and suppress the stimulation of aldosterone secretion.
Rationale 4: Angiotensin-converting enzyme inhibitors block the formation of angiotensin II, which is the normal signal for aldosterone secretion.
Rationale 5: Nitrites do not impact serum renin levels or suppress the stimulation of aldosterone secretion.
Global Rationale: Beta blockers, NSAIDs, and calcium channel blockers may reduce renin serum levels and suppress the stimulation of aldosterone secretion. Angiotensin-converting enzyme (ACE) inhibitors block the formation of angiotensin II, which is the normal signal for aldosterone secretion. Nitrites do not impact serum renin levels or suppress the stimulation of aldosterone secretion.
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