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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