What electrolyte should be monitored closely in patients receiving potassium-sparing diuretics?

In patients receiving potassium-sparing diuretics, it is crucial to monitor potassium levels closely. These diuretics, such as spironolactone, eplerenone, and amiloride, work by antagonizing aldosterone, which results in the retention of potassium while promoting the excretion of sodium and water. As a result, potassium levels can rise significantly, leading to hyperkalemia. Hyperkalemia can have serious consequences, including cardiac arrhythmias.

Monitoring potassium is essential for preventing complications associated with high potassium levels. Although other electrolytes such as sodium, calcium, and chloride are important in the context of diuretic therapy, the unique action and side effects of potassium-sparing diuretics specifically warrant careful observation of potassium.