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Glutico - Drug card

Drug card
Course

Nursing Process: Advanced Medical-surgical (NURSE 278)

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Students shared 3 documents in this course
Academic year: 2022/2023
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GLUCOCORTICOIDS

Drug Classification: Belongs to a class of steroid hormones.

Action: Many compounds connected to inflammation, including cytokines, chemokines,

arachidonic acid metabolites, and adhesion molecules, are inhibited by glucocorticoids. On the

contrary, glucocorticoids frequently up-regulate anti-inflammatory mediators.

Indications for use:

The following medical problems are indicated for the use of glucocorticoids: -Short-term treatment of inflammatory disorders by preventing arachidonic acid's effects. As a result, fewer prostaglandins and leukotrienes are produced. Localized inflammation is treated with local medications. The therapy of specific tumors, cancer-associated hypercalcemia, hematological diseases, and specific neurological infections all call for systemic administration. Some of these medications can be used in replacement therapy for adrenal insufficiency when combined with mineralocorticoids. Adverse Effects/Toxic Effects: Vacillation and irritation distorted vision glaucoma or cataract difficulty paying attention Dizziness more female facial hair growth irregular or fast heartbeat The retention of water the discomfort elevated blood pressure increased triglycerides, cholesterol, or blood sugar increased chance of getting gastritis or stomach ulcers Loss of potassium Due to a decrease of the body's calcium absorption process, osteoporosis has the potential to reactivate latent TB. breathing difficulties Insomnia gaining weight.

Contraindications / Drug to Drug interactions/Food

Interactions:

GLUCOCORTICOIDS

Corticosteroids should not be used in conjunction with live or live attenuated vaccines (when using immunosuppressive doses), systemic fungal infection, osteoporosis, uncontrolled hyperglycemia, diabetes mellitus, glaucoma, joint infection, uncontrolled hypertension, herpes simplex keratitis, and chickenpox. Other relative contraindications include peptic ulcer disease, congestive heart failure, and viral or bacterial infections that are resistant to anti-infectives. The following are drug-drug interactions involved in the use of glucocorticoids: Troleandomycin, erythromycin, and ketoconazole increased harmful consequences. Barbiturates, phenytoin, salicylates, or rifampin lower serum level and efficiency. Assessment/Nursing interventions:

  • Before beginning corticosteroid therapy, a medical history and physical are required to identify any risk factors or underlying disorders that may be made worse by the medication. -Baseline values should be compared to the patient's height, weight, blood pressure, bone mass density, ophthalmological examination, blood sugar level, and lipid profile. Children and teenagers demand special consideration because there is a chance that their growth will be slowed down. Post Administration /Nursing intervention: Keep track of the patient's response to the treatment (whether that be the disappearance of inflammation-related symptoms or the restoration of a normal supranasal function). Keep an eye out for any negative effects, such as infections, skin changes, or weariness. You can gauge how well the patient understands his or her medication treatment by asking the patient to name the medication, its indication, and any potential side effects. monitoring the patient's adherence to their medication. Patient teaching/patient education:
    1. Take the medication exactly as directed by your doctor.
  1. Avoid taking the recommended dosage in excess or insufficiently, and don't stop taking the medication without first speaking to your doctor.
  2. Since glucocorticoids may produce nausea and vomiting, taking the medication with food or milk can help to lessen this side effect.
  3. Because glucocorticoids reduce autoimmunity, they may make you more susceptible to infection. This makes maintaining good hygiene, avoiding contact with sick people, and telling your doctor if you experience infection symptoms like fever, indigestion, or swelling crucial.
  4. Finally, if you have any questions or concerns about your medicine, make sure to talk to your doctor. They can give you more information about the advantages and risks of glucocorticoids and assist you in managing any side affects you may be experiencing.
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Glutico - Drug card

Course: Nursing Process: Advanced Medical-surgical (NURSE 278)

3 Documents
Students shared 3 documents in this course
Was this document helpful?
GLUCOCORTICOIDS
Drug Classification: Belongs to a class of steroid hormones.
Action: Many compounds connected to inflammation, including cytokines, chemokines,
arachidonic acid metabolites, and adhesion molecules, are inhibited by glucocorticoids. On the
contrary, glucocorticoids frequently up-regulate anti-inflammatory mediators.
Indications for use:
The following medical problems are indicated for the use of glucocorticoids: -Short-term treatment of
inflammatory disorders by preventing arachidonic acid's effects. As a result, fewer prostaglandins and
leukotrienes are produced.
Localized inflammation is treated with local medications.
The therapy of specific tumors, cancer-associated hypercalcemia, hematological diseases, and specific
neurological infections all call for systemic administration. Some of these medications can be used in
replacement therapy for adrenal insufficiency when combined with mineralocorticoids.
Adverse Effects/Toxic Effects:
Vacillation and irritation
distorted vision
glaucoma or cataract
difficulty paying attention
Dizziness
more female facial hair growth
irregular or fast heartbeat
The retention of water
the discomfort
elevated blood pressure
increased triglycerides, cholesterol, or blood sugar
increased chance of getting gastritis or stomach ulcers
Loss of potassium
Due to a decrease of the body's calcium absorption process, osteoporosis has the potential to reactivate
latent TB.
breathing difficulties Insomnia
gaining weight.
Contraindications / Drug to Drug interactions/Food
Interactions: