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The potassium-sparing agents spironolactone, triamterene, and amiloride are often useful in combination with the loop diuretics and thiazides. Triamterene and amiloride act on the distal tubule to reduce potassium secretion. Their diuretic potency is only mild and not adequate for most patients with heart failure, but they may minimize the hypokalemia induced by more potent agents.
Side effects: Hyperkalemia, gastrointestinal symptoms, renal dysfunction and gynecomastia.
Upon admission the DPU nurse notes: Fasting status - fasted from 12 midnight, no morning medication taken. Consent - signed Pre anaesthetic check Test results
The structure and formation of schizocoelous
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