Prednisone

INDEX Generic Name prednisone

Trade Name

Peak Onset unknown hr Why is your patient taking this medication?

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency antiasthmatics corticosteroids 5-60mg PO daily; single dose or divided doses

Duration 1.25-1.5 days

For IV meds, compatability with IV drips and/or solutions

Mechanism of action and indications Nursing Implications (what to focus on) used systemically and locally in a wide variety of chronic Contraindications/warnings/interactions Active untreated infections; disease including: Inflammatory; allergic; hematologic; lactation; alcohol, bisulfite, or tartrazine hypersensitivity or intolerance; neoplastic; Autoimmune disorders; with other administration of live virus vaccines; use cautiously in: chronic treatment; immunosuppressants in the prevention of organ rejection stress (surgery, infections); potential infections may mask signs; pregnancy; in transplantation surgery; croup. neonates. Asthma; management of chronic illness; replacement therapy Common side effects depression; euphoria; HA; personality changes; psychoses; in adrenal insufficiency. Short-term to high-risk mothers restlessness; cataracts; increased intraocular pressure; hypertension; peptic ulcer before delivery to prevent respiratory distress syndrome anorexia; nausea; vomiting; acne; decreased wound healing; ecchymoses; fragility; in newborn; adjunctive therapy of hypercalcemia; acute hirsutism; petechiae; hyperglycemia; fluid retention; hypokalemia; spinal cord injury; mgn of nausea and vomiting from chemo. thromboembolism; weight gain; muscle wasting; osteoporosis; Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) thiazide; loop diuretics; amphotericin B; peperacillin; ticarcillin; digoxin; insulin; oral hypoglycemic agents; Phenytoin; phenobarbital; rifampin; Hormonal contraceptives; Be sure to teach the patient the following about this medication NSAIDs; live-virus vaccines; cyclosporine; tacrolimus; If anorexia, nausea, weakness, fatigue, dyspnea; hypotension; hypoglycemia flouroquinolones; somatrem; somatropin; Antacids; occur call doctor; avoid people with contagious illnesses; avoid vaccinations; Ketoconazole; itraconazole; ritonavir; indinavir; saquinavir inform doctor if severe abdominal pain or tarry stools occur; report swelling; erthromycin; salicylate; isoniazid; anticholinesterases; weight gain; tiredness; bone pain; bruising; nonhealing sores; visual disturb.; grapefruit juice. behavior changes; possible effects on body image; periodic lab and eye tests. Nursing Process - Assessment Assessment Evaluation (Pre-administration assessment Why would you hold or not give Check after giving Vital signs; adrenal insufficiency (hypotension; this med? Decrease in presenting symptoms with minimal weight loss; weakness; nausea; vomiting; Monitor I/O ratios and daily weights systemic SEs; suppression of the inflammatory anorexia; lethargy; confusion; restlessness; peripheral edema; steady weight gain, rales/ and immune responses in autoimmune monitor I/O and daily weights. Observe for crackles; dyspnea; cerebral edema. disorders; allergic reactions; and neoplasmas; peripheral edema; steady weight gain, rales/ Mng of symptoms in adrenal insufficiency; crackles; dyspnea; cerebral edema. inprovement of Chrohns disease.

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