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Mineralocorticoids Cheat Sheet by

Drug info for Fludrocortisone

Prototype

Fludro­cor­tisone

Action:

Retains Na & fluid
Increases K excretion

Indication

Addison's Disease

Contra­ind­ica­tion:

Severe HTN
CHF
Cardiac Disease
Lactation

Cautions:

Pregnancy
High Na Intake
Infection
 

Drug Intera­ctions:

Decrease effects of barbit­urates & phenytoin
Oral diabetes meds & insulin doses may need adjustment d/t hyperg­lycemic effect
K-sparing diuretics counter act K excretion mechanism of fludro­cor­tisone

Adverse Effects

Heart Failure
Edema
HTN
Hypoka­lemia
Hypern­atremia

Nursing Interv­ent­ions:

Monitor fluid/­ele­ctr­olyte (K & Na)
Monitor blood pressure
Monitor blood glucose levels
 

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