Sei sulla pagina 1di 2

NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


Prednisone Predacort and Systemic corticosteroids 40 mg PO QD
many others
Peak Onset Duration Normal dosage range
Unknown Hour 1.25-1.5 days 5-60mg per day
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Anti-inflammation of airways N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Supress inflammation and the normal immune response. Used Contraindicated in pt’s w/ Active untreated infections, known alcohol,
systemically and locally in a wide variety of chronic diseases bisulfite, or tartrazine hypersensitivity or intolerance, Administration of
including: Inflammatory (COPD) live virus vaccines. Use cautiously in pt’s w/Chronic treatment (will lead
to adrenal suppression; use lowest possible dose for shortest period of
time),
Common side effects

CNS: depression, euphoria, CV: hypertensionGI: anorexia, nausea,


Derm: acne, decreased wound healing, ecchymoses, fragility, hirsutism,
petechiae, Endo: adrenal suppression, MS: muscle wasting, osteoporosis,
Misc: cushingoid appearance (moon face, buffalo hump),

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor serum electrolytes and glucose. May cause hyperglycemia,
None specified especially in persons with diabetes.. Patients on prolonged therapy should
routinely have hematologic values, serum electrolytes, and serum and
urine glucose evaluated. May ↓ WBCs. May ↓ serum potassium and
calcium and ↑ serum sodium concentrations
Be sure to teach the patient the following about this
medication
Corticosteroids cause immunosuppression and may mask symptoms of
infection. Instruct patient to avoid people with known contagious
illnesses and to report possible infections immediately, Caution patient to
avoid vaccinations without first consulting health care professional,
Review side effects with patient. Instruct patient to inform health care
professional promptly if severe abdominal pain or tarry stools occur
Patient should also report unusual swelling, weight gain, tiredness, bone
pain, bruising, nonhealing sores, visual disturbances, or behavior changes
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess patient for signs of adrenal insufficiency med? Do not hold dose, these drugs must
(hypotension, weight loss, weakness, nausea, Do not hold dose, these drugs must be be gradually decreased.
vomiting, anorexia, lethargy, confusion, gradually decreased.
restlessness) before and periodically during
therapy

Potrebbero piacerti anche