jennraq2u's version from 2016-08-06 22:17


Question Answer
Trade Name: Prednisone
Use(s): Severe inflammation, immunosuppression, neoplasm’s, MS,collagen d/o's
Action: Decreases inflammation r/t suppression of leuocytes; inc cap permeability
Contraindications: Psychosis,amebiasis, fungal infections, child <2 years old, aids, TB.
Side Effects: Circulatory collapse, thrombophlebitis, embolism, GI hemorrhage.
Nursing implications: Assess for N/V, Weight, BP, I&O, infection, edema, mental status.
Take w/ meals; before 9am;
Drug endings-lone ; -sone ; Pref= cort
C –Cataracts
U – Ulcers
S –Striae, Skin thinning
H –Hypertension, Hirsutism
I –Immunosuppression, Infections
N – Necrosis of femoral heads
G –Glucose elevation
O –Osteoporosis, Obesity
I – Impaired wound healing
D – Depression/mood changes
Trade Name: Solu-Cortef (Hydrocortisone)
Use(s):adrenal insufficiency, collagen disorders.
Action: Reduces inflammation r/t suppress leukocytes rev capillary permeability.
Contraindications:Psychosis,thrombocytopenia, fungal infx, bronchial d/o, <2 yrs, aids, TB.
Side Effects: Circulatory collapse, thrombophlebitis, embolism, thrombocytopenia, GI hemorrh
Nursing implications: Assess mental status, weight, B/P, I&O, infection, edema, hypertension.
Beclomethasone, budesonide,mometasone, triamcinolone (Nasacort)given po or nasal in respiratory d/o. Hi dose suppress adrenocortical Fxn.
Dexamethasone (blood brain barrier more readily)Rx Choice r/tcerebral edema w/ brain tumors, craniotomy, or head injury
Hydrocortisone, dexamethasone, and methylprednisolonecan be given parentally/ IV=life threatening situations