Case Analysis Worksheet Case 1: Multiple Medication Management Patient Profile: Age: 75 Current Medications: - Lisinopril 20mg daily - Furosemide 40mg daily - Potassium Chloride 20mEq daily - Aspirin 81mg daily New Medication Ordered: Spironolactone 25mg daily Your Analysis: 1. Potential interactions? __ 2. Required monitoring? __ 3. Safety concerns? __ 4. Patient education? __

1. Potential interactions: The new medication, Spironolactone, may interact with the patient's current medications. Spironolactone is a potassium-sparing diuretic, which can increase the risk of hyperkalemia when taken with Potassium Chloride. Additionally, Spironolactone may increase the risk of hypotension when taken with Lisinopril, an ACE inhibitor.<br />2. Required monitoring: The patient's potassium levels should be closely monitored due to the risk of hyperkalemia from Spironolactone and Potassium Chloride. The patient's blood pressure should also be monitored due to the potential for hypotension from Spironolactone and Lisinopril.<br />3. Safety concerns: The patient should be monitored for signs of hyperkalemia, such as muscle weakness, fatigue, or irregular heartbeat. The patient should also be monitored for signs of hypotension, such as dizziness or fainting.<br />4. Patient education: The patient should be educated on the importance of taking their medications as prescribed, and the potential side effects of Spironolactone, such as dizziness, muscle cramps, and irregular heartbeat. The patient should also be educated on the importance of regular blood pressure and potassium level monitoring.