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Spironolactone hyperkalaemia — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsSpironolactone hyperkalaemiaGPhC CRA

A man taking spironolactone and ramipril for heart failure asks to buy potassium tablets for leg cramps. What monitoring is required?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: CCheck potassium and renal function before further supply

Spironolactone can cause clinically significant hyperkalaemia, particularly when renal function is impaired. This makes check potassium and renal function before further supply the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF interactions