Thursday, July 30, 2009
Bat Protection Team
After the bat in her room, Autumn was afraid to sleep in there, in an alternative option to bunking in my bed which there is really no room for her, we set her up in the tent, then she invited in a couple of bodyguards.
Tuesday, July 28, 2009
Rabies treatment
My poor girl...because the bat was in her bedroom, she had to go and start Rabies treatment! The CDC sent us to the ER. They fast tracked us and she got two huge 10cc shots of thick liquid in her shoulder muscles (one on each side). And then a 5 cc shot on her thigh.She'll have another shot on days 3,7, 14 and 28: ( She was really awesome and didn't cry at the shots, teared up a bit afterwards because her shoulder muscles hurt ALOT.
And even though all of the animals were up to date on their shots, Piper and Mya, the two cats who had contact with the bat will have to go and have Rabies boosters tomorrow.
And even though all of the animals were up to date on their shots, Piper and Mya, the two cats who had contact with the bat will have to go and have Rabies boosters tomorrow.
Ah, and the Season for Chiroptophobia begins....
I knew it was coming. For the last couple of weeks, when my mind was not plagued with bigger worries such as meeting my mortgage, keeping everything turned on, the car running, seizures...I would lay in bed and anxiously watch the ceiling for that unmistakeable shadow flitting around.I'd pull the covers up over my head, and lay there agonizing over whether I would know if one of my children got bit, if one of us would die of hydrophobia, I fear one being caught in my hair ( I don't car eif it is an old wives' tale..it FREAKS ME OUT!)I toss and turn and generally worry myself till I doze off in a fitful state and dream of...
Bats. Yup, I'll give myself nightmares over it. I'll fret so much I clench my jaw, inflame my TMJ and wake up with a headache...all over these insect eating,disease carrying, furry, freaky ass flying mammals.
2:45 am all the dogs get up and go to the bottom of the stairs...I thought it might just be Danny Joe getting a late night snack or something, but I sat up. Autumn comes in our room and she's stuttering and stammering and my first thought is she is confused...is she having a seizure?! It's a weird new kind of seizure then. I grab hold of her forearms because I feared she might drop down into a tonic clonic seizure and either fall through the stein cabinet or hurt herself on the door, and she finally gets it out, you can hear the fear in her voice..."Mom! I think there is a bat in my room! I woke up and I heard the fluttering of something flying and those chirping noises they make! I sat on my bed with the cover over my head and then when it crossed to the other side of my room I got down and ran out the door!" Poor kid is sleeping on a loft bed about 3 feet from the ceiling! I would have shit my pants! Anybody who knows me , knows that I have a major fear of bats.
Since we have moved into this house every summer in late July, early August for a week or two we end up with bats in our house.The first time I was sittign watchign TV with Dan and I see somethign flying aroudn th eliving room, and my first thougth was "Oh one of the birds got out." So I look over at the bird cage to see that all three cockatiels are still perched there and Sage is still in his cage and that is when it dawned on me "BAT!" and I dove under the couch cushions.Once when I was sitting in the recliner in the kitchen talking to Danny Joe, my lovebird Sage got out of his cage and flew over to my head. Except I saw him flying to me out of the corner of my eye, and jumped up and screamed "BAT!BAT!" and ran and locked myself in the bathroom, while Danny Joe is out there trying to get Sage to land on his arm before a dog eats or steps on him. It was classic. I once shut Autumn down in the big kid playroom when I discovered a bat and ran for my life. Last summer one must have come in during the night and somehow ended up in the turtle tank, that morning Owen comes running to me in tears (afraid of the bat) telling me there is a bat in the turtle tank,I didn't really believe him...mostly they come in at dusk, and I thought maybe he was talkign about a toy bat of some kind, so I get up to investigate. Yup, there is a bat, clinging to the rocks and the turtles are trying to drag him down into he water. GO TURTLES! GO TURTLES! GO TURTLES! ( no fear PETA members...Dan saved the out of luck bat in a towel and safely deposited him outside over the fence near the trees)And the time I was drying my hair in the bathroom and I see this shadow on the ceiling and think to myself "Damn! That's one big-ass moth!" only to then figure out in my glassless semi-blind state it was a bat...thankfully I was fully dressed because I ran screaming from the bathroom, LOL. And those are just the memorable times...it doesn't include the 18 or so other generic times I just ran for cover, lol.
So back to our present unwelcomed midnight visitor... Dan gets out of bed and goes up to investigate and can't find the bat anywhere upstairs...not in Autumn's room, the boys' room, the bathroom...so he comes downstairs to check and see if the bat came down stairs and he goes to turn on the kitchen light and HE sees Piper chaisng somethign aroudn our kitchen floor. Sure enough it was the bat. Piper our cat had it!It couldn't fly anymore, but it was alive. Dan scoope dit up and tossed it outside to see if it would recover. Ther eis no bat so either it recovered and flew away or died and something took it away.
Go Piper!!!Piper, although I am not her favorite person, she has now earned her spot in my house. No longer can Dan call my cats useless!
My new Favorite Kitty....Piper
Bats. Yup, I'll give myself nightmares over it. I'll fret so much I clench my jaw, inflame my TMJ and wake up with a headache...all over these insect eating,disease carrying, furry, freaky ass flying mammals.
2:45 am all the dogs get up and go to the bottom of the stairs...I thought it might just be Danny Joe getting a late night snack or something, but I sat up. Autumn comes in our room and she's stuttering and stammering and my first thought is she is confused...is she having a seizure?! It's a weird new kind of seizure then. I grab hold of her forearms because I feared she might drop down into a tonic clonic seizure and either fall through the stein cabinet or hurt herself on the door, and she finally gets it out, you can hear the fear in her voice..."Mom! I think there is a bat in my room! I woke up and I heard the fluttering of something flying and those chirping noises they make! I sat on my bed with the cover over my head and then when it crossed to the other side of my room I got down and ran out the door!" Poor kid is sleeping on a loft bed about 3 feet from the ceiling! I would have shit my pants! Anybody who knows me , knows that I have a major fear of bats.
Since we have moved into this house every summer in late July, early August for a week or two we end up with bats in our house.The first time I was sittign watchign TV with Dan and I see somethign flying aroudn th eliving room, and my first thougth was "Oh one of the birds got out." So I look over at the bird cage to see that all three cockatiels are still perched there and Sage is still in his cage and that is when it dawned on me "BAT!" and I dove under the couch cushions.Once when I was sitting in the recliner in the kitchen talking to Danny Joe, my lovebird Sage got out of his cage and flew over to my head. Except I saw him flying to me out of the corner of my eye, and jumped up and screamed "BAT!BAT!" and ran and locked myself in the bathroom, while Danny Joe is out there trying to get Sage to land on his arm before a dog eats or steps on him. It was classic. I once shut Autumn down in the big kid playroom when I discovered a bat and ran for my life. Last summer one must have come in during the night and somehow ended up in the turtle tank, that morning Owen comes running to me in tears (afraid of the bat) telling me there is a bat in the turtle tank,I didn't really believe him...mostly they come in at dusk, and I thought maybe he was talkign about a toy bat of some kind, so I get up to investigate. Yup, there is a bat, clinging to the rocks and the turtles are trying to drag him down into he water. GO TURTLES! GO TURTLES! GO TURTLES! ( no fear PETA members...Dan saved the out of luck bat in a towel and safely deposited him outside over the fence near the trees)And the time I was drying my hair in the bathroom and I see this shadow on the ceiling and think to myself "Damn! That's one big-ass moth!" only to then figure out in my glassless semi-blind state it was a bat...thankfully I was fully dressed because I ran screaming from the bathroom, LOL. And those are just the memorable times...it doesn't include the 18 or so other generic times I just ran for cover, lol.
So back to our present unwelcomed midnight visitor... Dan gets out of bed and goes up to investigate and can't find the bat anywhere upstairs...not in Autumn's room, the boys' room, the bathroom...so he comes downstairs to check and see if the bat came down stairs and he goes to turn on the kitchen light and HE sees Piper chaisng somethign aroudn our kitchen floor. Sure enough it was the bat. Piper our cat had it!It couldn't fly anymore, but it was alive. Dan scoope dit up and tossed it outside to see if it would recover. Ther eis no bat so either it recovered and flew away or died and something took it away.
Go Piper!!!Piper, although I am not her favorite person, she has now earned her spot in my house. No longer can Dan call my cats useless!
My new Favorite Kitty....Piper
Sunday, July 26, 2009
Graceful, I am not
OK so I finally recovered from my dog walking fiasco. I am walking up the stairs of the playroom to the kitchen holding a 5 pound frozen roll of dog meat in my hand. I go to step up the last step in the kitchen completely miss the step, and alas I cannot save myself because the moment my foot went to hit that step I was fully committed. I kind of caught myself on the door jam with my elbow, which suffered a little minor de-skinning. Unfortunately the force of my entire body weight hitting that door frame with my elbow caused that arm to rebound and....
....wait for it....
...can you see it coming?...
...if you guessed "socked yourself in the face with a 5 pound tube of frozen dog meat and almost broke your cheekbone/gave yourself a black eye" You are a WINNER!!!!!!!!!!
And that my friends is the danger of the B.A.R.F. diet.
....wait for it....
...can you see it coming?...
...if you guessed "socked yourself in the face with a 5 pound tube of frozen dog meat and almost broke your cheekbone/gave yourself a black eye" You are a WINNER!!!!!!!!!!
And that my friends is the danger of the B.A.R.F. diet.
Tuesday, July 21, 2009
Dog Walking 101
65 pound Boxer Greta +
70 pound Mini Moose Emma +
100 pound Moose, Bailey =
Damaged Dog WalkerSo two days ago I decided to take all three dogs for a walk...that's a good 235 pounds of dog being walked by 110 pound me. Normally it goes just fine, but the stupid guys across the street always allow their Jack Russel Terrier Jewels to run free (always after 4:30 and on weekends when Animal control is closed @@) So coming back from our walk Jewels is out on the corner with some people who are all concerned about this "stray" dog. Jewels comes running up to greet me and my trio and the next thing I know I'm skiing across the front of this guys lawn, thinking to myself "Please don't eat the little dog in front of all these little kids!", because Bailey, the 100 pound French Mastiff really needed to see Jewels, she dragged me and the other two dogs with her...she did the same closed mouth I'll be gentle but I want to play chomp that she uses on my cats to Jewels and I ended up on my ass. I was so pissed...partly at Bailey for misbehaving and partly at the college kids for letting Jewel run free. I was peeved. A guy who loading stuff in a mini van is frozen mid way trying to decide if he should help me, rescue the little dog or stay out of it, lol. I get up and holler at Bailey for pulling me over, she cowers. I walk to corner and holler "SIT!" everyone sits, I say "HEEL!" everyone heels we start walking down the street, a nice couple in a van are looking at me..and Autumn asks me "Mom what would you do if Bailey ate Jewels?!" "I'd applaud, it's what you get for letting your dog run free, he deserves to be eaten! Do you see our dogs ever run free?! NO. Our dogs are fenced or on a leash." I ranted the whole two blocks home. I had a beer, all was forgotten.
Two days later my ankles are so sore. Flexing my toes up is unbearable, down is bad. It's like my ankles are burning. And the pain is traveling up my lower leg and making my knee joint on the right hurt. The back of my thighs are starting to feel pain. Ibuprofen isn't doing squat. I suppose I need to ice it but I have to wait for my ice cube trays to freeze. But I don't blame my sweet Bailey...I blame this Stinker's SCHMOE Owners...
Two days later my ankles are so sore. Flexing my toes up is unbearable, down is bad. It's like my ankles are burning. And the pain is traveling up my lower leg and making my knee joint on the right hurt. The back of my thighs are starting to feel pain. Ibuprofen isn't doing squat. I suppose I need to ice it but I have to wait for my ice cube trays to freeze. But I don't blame my sweet Bailey...I blame this Stinker's SCHMOE Owners...
Wednesday, July 15, 2009
Tuesday, July 14, 2009
Summer Fun
To Really get into the spirit of our Native American unit we decided to build a tipi.
Although the tribe we'll discover this week, The Maidu tribe of California, didn't use tipis, the Nez Perce of the Northwest that we did last week, and the Sioux that we will discover next week both use tipis.It took me about an hour and half total, that includes collecting my long branch poles and trimming off the tiny branches, to erecting the frame, and draping the "buckskins". The FamilyFun.com website suggested using 10 foot sections of PVC pipe and a 9 x 12 foot canvas tarp...but we improvised and were on a tighter budget and therefore got a less commercial and more rustic looking tipi; P The kids are having an absolute BLAST playing Indians!
Here is me constructing the frame.
The finished frame...
The finished tipi...
Although the tribe we'll discover this week, The Maidu tribe of California, didn't use tipis, the Nez Perce of the Northwest that we did last week, and the Sioux that we will discover next week both use tipis.It took me about an hour and half total, that includes collecting my long branch poles and trimming off the tiny branches, to erecting the frame, and draping the "buckskins". The FamilyFun.com website suggested using 10 foot sections of PVC pipe and a 9 x 12 foot canvas tarp...but we improvised and were on a tighter budget and therefore got a less commercial and more rustic looking tipi; P The kids are having an absolute BLAST playing Indians!
Here is me constructing the frame.
The finished frame...
The finished tipi...
Friday, July 10, 2009
What happens when you leave 11 year old girls being minded by 22 year old's who are playing video games?
They steal your digital camera to take pictures of the cake they baked...
and of the dog they dressed up...........
This one looks like Emma had a hangover from carrying around the twelve pack of Heinekin...
Saturday, July 4, 2009
Ileus Hospitalization
We took DH to the emergency room Wednesday morning. After being up all night with severe upper abdominal pain, he became nauseaus and was sweating bullets to boot. I thought he might be having a heart attack, or his hiatal hernia surgery he had done a few years ago came undone, or he had gallstones.
He spent 9 1/2 hours in the ER. They did an x-ray and blood work. He had a high white count. They sent him for a CT. He had a "slow small intestine". They call it an Ileus. They needed to watch him to see if it turned into a blockage. They admitted him...but it took forever to get a bed.
HE was allowed No food or water. They started an IV. They did regular blood work. Thursday he was still on no food, no water. But was feeling better. His potassium and calcium were low so they gave him those. They did another x-ray to see where things were and apparently they had started to slowly but surely move along. He was told they would start him on clear liquids in the morning and soft foods like soup and pudding in the afternoon.
So I get to the hospital at 10 am on Friday morning and he hadn't seen a Dr. since he coincidentally ran into his Primary Care Physician coming out of x-ray at 9 am the day before. No one could tell us who was covering for his doctor or when someone might be in to check on him or at the very least give him the OK for some clear liquids.
He was about ready to discharge himself. I went to the Nurse Station and asked, I informed them they were about to lose a patient. They said they'd look into it. an hour later his nurse comes in and we ask her about it, Dan tells her he was leaving in 65 minutes, whether they discharge him or not. she'd said she'd check. Another hour goes by and nothing. So i went and called his PCP, got the answering service since it was a holiday and they are closed for the holiday and explained to her that one if their patients was admitted Wednesday and hadn't seen the covering physician yet, has been on no food and water for 3 days, I had asked at the nurse's station and the his nurse who the covering doctor was, when we might see him, when he might be allowed at least some clear liquid and they couldn't' answer a thing. I go back to his room. And then I go back down to the nurse's station, who informs me they just received a call from his PCP, they were now looking for his covering doctor. Of course you are, because I JUST got off the phone. I CALLED his PCP! You are going to lose a patient in 5 minutes, he's packing as we speak. The covering Dr. doesn't do rounds till late afternoon. Well then I guess he'll have one less patient to see. As I am leaving she asks which nurse covers my husband, the covering Dr. is calling in, my husband's nurse happens to be there and picks up.
All over the hospital are signs posted for this CONDITION H. H for HELP. That if you feel you are not receiving quality care, you can dial this number and a team of people will arrive to assess the situation and assist in getting your patient help. Needless to say, this IS NOT confidence inspiring. Anyhow, the Unit Nurse Coordinator shows up...she says her name is Nurse COMFORT...makes me wonder if it's a code name like "Paging Dr. STRONG to room #2B19" just means they need some really strong people in that room ASAP to help restrain a patient??? Anyway she offers her apologies in the lack of communication, it's busy....They were trying to reach the covering DR all morning, they can't help it if he doesn't answer his pages. I said we understand he is low priority, it's not life or death, but some simple straight answers would have averted this entire situation. At first I was irritated but OK, I told her I have no interest in listening to excuses, she says in a snotty tone "these aren't excuses Ma'am...these are the facts...." OMG BULLSHIT...NOTHING was being done UNTIL I CALLED HIS PCP. He asked his nurse this morning she had no answers. I went to the Nurse's station two hours ago..they couldn't even tell me who his covering doctor was! THE ONLY REASON they were on the phone with him 10 minutes ago was because I CALLED HIS PCP! I was so irate, Dan got up stepped between the nurse and me, and was like I'm staying. I'm OK .Everything is OK. Your OK. He hugged me but I was so peeved I pushed him away and walked out. I was absolutely FUMING. I was totally ready to go toe to toe with Nurse Comfort.
When I got back he had coffee, a carton of milkshake crap, cream of broccoli soup, a tapioca pudding and a Jell-O. A while later they offered him toast and his nurse filled out all his paperwork so when the Dr. Late Bird got around to doing his rounds his discharge would be quicker. We sat in the room for another 4 1/2 hours waiting on the Dr. His nurse came in and was so apologetic...I don't have a problem with any of the nurses, except Nurse Comfort, she better keep her distance from me. I told her I've had two babies at that hospital, my glalbladder out, Dan's hiatal hernia surgery and we've never run into this kind of problem before, I understand he's a low priority case however, my daughter has epilepsy and if i ever get this kind of treatment in her care all Hell will break loose.
Almost 5 pm Dr. Late Bird meanders in, doesn't check Dan over at all, doesn't listen to his gut nothing...just asks how are you feeling? Nauseaus? Pain? No...I was told you wouldn't be released until tomorrow but if your feeling up to it I'll release you now. Any questions? Yeah how about his low potassium...is it the cause of the Ileus or a result of the Ileus. I doubt it's the cause, lots of people come in here with low potassium doesn't mean they'll get an Ileus (OK I know I am not a Dr., I know I shouldn't get my medical advice online but go to medline and look up Ileus and you'll see this....
Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. Causes of paralytic ileus may include:
Chemical, electrolyte, or mineral disturbances (such as decreased potassium levels)
So it was caused by the Ileus? It was probably caused by the Spirolactone (his high blood pressure medicine).
From Medline about Ileus:
Possible Complications
Complications may include or may lead to:
Electrolyte imbalances
From the FDA site on Spironolactone:
Indications and Usage for Spironolactone
Hypokalemia
For the treatment of patients with hypokalemia when other measures are considered inappropriate or inadequate. Spironolactone tablets are also indicated for the prophylaxis of hypokalemia in patients taking digitalis when other measures are considered inadequate or inappropriate.
(hypokalemia is low potassium in the blood)
Therefore when you go down to WARNINGS:
Warnings
Potassium supplementation: Potassium supplementation, either in the form of medication or as a diet rich in potassium, should not ordinarily be given in association with Spironolactone therapy.
Excessive potassium intake may cause hyperkalemia in patients receiving Spironolactone (see PRECAUTIONS: General). Spironolactone should not be administered concurrently with other potassium-sparing diuretics. Spironolactone, when used with ACE inhibitors or indomethacin, even in the presence of a diuretic, has been associated with severe hyperkalemia. Extreme caution should be exercised when Spironolactone is given concomitantly with these drugs.
Hyperkalemia is excessive levels of ptassium in teh blood, which can lead to cardiac arrest, like he isn't a cardiac arrest awaitign ot happen already?! @@I'm beginning to wonder if they just pulled a Janitor aside to pose as a Dr. to get us out of there?!
He spent 9 1/2 hours in the ER. They did an x-ray and blood work. He had a high white count. They sent him for a CT. He had a "slow small intestine". They call it an Ileus. They needed to watch him to see if it turned into a blockage. They admitted him...but it took forever to get a bed.
HE was allowed No food or water. They started an IV. They did regular blood work. Thursday he was still on no food, no water. But was feeling better. His potassium and calcium were low so they gave him those. They did another x-ray to see where things were and apparently they had started to slowly but surely move along. He was told they would start him on clear liquids in the morning and soft foods like soup and pudding in the afternoon.
So I get to the hospital at 10 am on Friday morning and he hadn't seen a Dr. since he coincidentally ran into his Primary Care Physician coming out of x-ray at 9 am the day before. No one could tell us who was covering for his doctor or when someone might be in to check on him or at the very least give him the OK for some clear liquids.
He was about ready to discharge himself. I went to the Nurse Station and asked, I informed them they were about to lose a patient. They said they'd look into it. an hour later his nurse comes in and we ask her about it, Dan tells her he was leaving in 65 minutes, whether they discharge him or not. she'd said she'd check. Another hour goes by and nothing. So i went and called his PCP, got the answering service since it was a holiday and they are closed for the holiday and explained to her that one if their patients was admitted Wednesday and hadn't seen the covering physician yet, has been on no food and water for 3 days, I had asked at the nurse's station and the his nurse who the covering doctor was, when we might see him, when he might be allowed at least some clear liquid and they couldn't' answer a thing. I go back to his room. And then I go back down to the nurse's station, who informs me they just received a call from his PCP, they were now looking for his covering doctor. Of course you are, because I JUST got off the phone. I CALLED his PCP! You are going to lose a patient in 5 minutes, he's packing as we speak. The covering Dr. doesn't do rounds till late afternoon. Well then I guess he'll have one less patient to see. As I am leaving she asks which nurse covers my husband, the covering Dr. is calling in, my husband's nurse happens to be there and picks up.
All over the hospital are signs posted for this CONDITION H. H for HELP. That if you feel you are not receiving quality care, you can dial this number and a team of people will arrive to assess the situation and assist in getting your patient help. Needless to say, this IS NOT confidence inspiring. Anyhow, the Unit Nurse Coordinator shows up...she says her name is Nurse COMFORT...makes me wonder if it's a code name like "Paging Dr. STRONG to room #2B19" just means they need some really strong people in that room ASAP to help restrain a patient??? Anyway she offers her apologies in the lack of communication, it's busy....They were trying to reach the covering DR all morning, they can't help it if he doesn't answer his pages. I said we understand he is low priority, it's not life or death, but some simple straight answers would have averted this entire situation. At first I was irritated but OK, I told her I have no interest in listening to excuses, she says in a snotty tone "these aren't excuses Ma'am...these are the facts...." OMG BULLSHIT...NOTHING was being done UNTIL I CALLED HIS PCP. He asked his nurse this morning she had no answers. I went to the Nurse's station two hours ago..they couldn't even tell me who his covering doctor was! THE ONLY REASON they were on the phone with him 10 minutes ago was because I CALLED HIS PCP! I was so irate, Dan got up stepped between the nurse and me, and was like I'm staying. I'm OK .Everything is OK. Your OK. He hugged me but I was so peeved I pushed him away and walked out. I was absolutely FUMING. I was totally ready to go toe to toe with Nurse Comfort.
When I got back he had coffee, a carton of milkshake crap, cream of broccoli soup, a tapioca pudding and a Jell-O. A while later they offered him toast and his nurse filled out all his paperwork so when the Dr. Late Bird got around to doing his rounds his discharge would be quicker. We sat in the room for another 4 1/2 hours waiting on the Dr. His nurse came in and was so apologetic...I don't have a problem with any of the nurses, except Nurse Comfort, she better keep her distance from me. I told her I've had two babies at that hospital, my glalbladder out, Dan's hiatal hernia surgery and we've never run into this kind of problem before, I understand he's a low priority case however, my daughter has epilepsy and if i ever get this kind of treatment in her care all Hell will break loose.
Almost 5 pm Dr. Late Bird meanders in, doesn't check Dan over at all, doesn't listen to his gut nothing...just asks how are you feeling? Nauseaus? Pain? No...I was told you wouldn't be released until tomorrow but if your feeling up to it I'll release you now. Any questions? Yeah how about his low potassium...is it the cause of the Ileus or a result of the Ileus. I doubt it's the cause, lots of people come in here with low potassium doesn't mean they'll get an Ileus (OK I know I am not a Dr., I know I shouldn't get my medical advice online but go to medline and look up Ileus and you'll see this....
Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. Causes of paralytic ileus may include:
Chemical, electrolyte, or mineral disturbances (such as decreased potassium levels)
So it was caused by the Ileus? It was probably caused by the Spirolactone (his high blood pressure medicine).
From Medline about Ileus:
Possible Complications
Complications may include or may lead to:
Electrolyte imbalances
From the FDA site on Spironolactone:
Indications and Usage for Spironolactone
Hypokalemia
For the treatment of patients with hypokalemia when other measures are considered inappropriate or inadequate. Spironolactone tablets are also indicated for the prophylaxis of hypokalemia in patients taking digitalis when other measures are considered inadequate or inappropriate.
(hypokalemia is low potassium in the blood)
Therefore when you go down to WARNINGS:
Warnings
Potassium supplementation: Potassium supplementation, either in the form of medication or as a diet rich in potassium, should not ordinarily be given in association with Spironolactone therapy.
Excessive potassium intake may cause hyperkalemia in patients receiving Spironolactone (see PRECAUTIONS: General). Spironolactone should not be administered concurrently with other potassium-sparing diuretics. Spironolactone, when used with ACE inhibitors or indomethacin, even in the presence of a diuretic, has been associated with severe hyperkalemia. Extreme caution should be exercised when Spironolactone is given concomitantly with these drugs.
Hyperkalemia is excessive levels of ptassium in teh blood, which can lead to cardiac arrest, like he isn't a cardiac arrest awaitign ot happen already?! @@I'm beginning to wonder if they just pulled a Janitor aside to pose as a Dr. to get us out of there?!
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