A patient with Stage C heart failure (HF) who has been taking an ACE inhibitor, a beta blocker, and a diuretic begins to have increased dyspnea, weight gain, and decreased urine output. The provider orders spironolactone [Aldactone]
The nurse will instruct the patient to: a. avoid potassium supplements.
b. monitor for a decreased heart rate.
c. take extra fluids.
d. use a salt substitute instead of salt.
A
Spironolactone is added to therapy for patients with worsening symptoms of HF. Because spiro-nolactone is a potassium-sparing diuretic, patients should not take supplemental potassium. Pa-tients taking digoxin need to monitor their heart rate. Extra fluids are not indicated. Salt substi-tutes contain potassium.
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