Which medication, if administered with spironolactone (Aldactone), will alert the nurse to assess the patient for signs and symptoms of hyperkalemia?
a. Propranolol (Inderal)
b. Captopril (Capoten)
c. Furosemide (Lasix)
d. Ibuprofen (Motrin)
ANS: B
ACE inhibitors, such as captopril, inhibit aldosterone and thus may contribute to the development of hyperkalemia. Beta blockers, such as propranolol, do not affect potassium levels. Loop diuretics, such as furosemide, cause hypokalemia. NSAIDs, such as ibuprofen, do not affect potassium levels.
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