Mr. Leach has an NG tube and is complaining of muscle weaknessand leg cramps. Pt has PVCs noted on the cardiac monitor. Labresults show sodium of 142, potassium of 2.9, chloride 101,magnesium 1.9, calcium 9.3. The physician has taken the patient offhis present thiazide diuretic and placed him onspironolactone.   

The patient asks you why the change was made. 

  • How would you explain the reason for the change from thethiazide diuretic to spironolactone? 
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