A 79-year-old man with heart failure is being started on Spironolactone 25 mg daily. According to prescribing guidelines, what ESSENTIAL monitoring sh...

Question

A 79-year-old man with heart failure is being started on Spironolactone 25 mg daily. According to prescribing guidelines, what ESSENTIAL monitoring should be performed before and after initiation?

Accepted Answer

Serum potassium and renal function (eGFR/creatinine) must be checked before starting and within 1 week of initiation, then regularly thereafter - particularly when combined with an ACE inhibitor or ARB

Answer

No monitoring is required

Answer

Liver function tests only

Answer

Full blood count only

Answer

Thyroid function tests only

uk-dgm MCQ (SBA): Spironolactone Monitoring - Potassium and Renal Function

A 79-year-old man with heart failure is being started on Spironolactone 25 mg daily. According to prescribing guidelines, what ESSENTIAL monitoring should be performed before and after initiation?