Spironolactone — NCLEX Cheat Sheet
K+-sparing diuretic → watch hyperK+
👤 By the CinnaRN Clinical Content Team
🕐 Updated 2026-07-11
🏷️ Pharmacological Therapies
🔖 Free to read, print, and share
💡
Use this quick-reference guide to spot, treat, and prevent Spironolactone on the NCLEX. Keep it handy during review and on exam day!
🩺
- HF, HTN, ascites, hyperaldosterone
- Aldosterone antagonist → keeps K+
- K+ > 5.0 mEq/L → HOLD
- Monitor K+, renal function
- Muscle weakness, peaked T waves
- Irregular pulse → arrhythmia
- NO K+ supplements / salt substitutes
- Avoid high-K+ foods (banana, orange)
- Gynecomastia possible (males)
- Take in AM, report ED/menstrual change
✨Quick Tip
Blocks aldosterone, causing loss of sodium and water but retention of potassium (potassium-sparing).
Related Pharmacological Therapies cheat sheets