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N480 - Week 5 - Steroids - good notes
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Western Carolina University
Academic year: 2021/2022
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Steroids
Notes
S – STEROIDS
S – Stress & Swelling hormone
“-Sone”
- Prednisone
- Dexamethasone
- Hydrocortisone
- Fludrocortisone
S S
STEROIDS Stress & Swelling
hormone
STEROIDS
Given to help the body respond to
inflammation & STRESS!
Commonly for:
• Inflamed Lung like COPD
• Inflamed joints like Rheumatoid Arthritis
• Inflamed SKIN like Psoriasis
• Inflamed body - like Lupus where the body
attacks itself
• Allergic reaction where EVERYTHING swells UP
Also given to Addison clients
We need to ADD some steroids
COPD
Prednisone Dexamethasone
####### Hydrocortisone
Fludrocortisone
TOP 3 MISSED Questions:
The nurse should be concerned
when the client states:
“I have a sore on my leg that
won’t go away”.
Which medication should be
reviewed with HCP.
Select all that apply
Which priority teaching is
required for a patient prescribed
prednisone for Lupus?
Which of the follow is an
indication that the client needs
additional teaching,
while taking fludrocortisone?
1. Naproxen
2. Dihydromorphinone
3. Dexamethasone
4. Hydrocodone
5. Hydrocortisone
1. Report slight increases in blood
sugar to HCP immediately.
2. Increase dose before surgery
or during times of stress.
3. Monitor weight weekly.
4. Take with full meal at breakfast.
1. I will not discontinue this
medication abruptly
2. New bilateral pedal edema
is normal
3. The most important value
to monitor is my weight.
4. I will report signs &
symptoms of infection
Indication:
Drug name: ADDISON TREATMENTS:
s
SWOLLEN (Water gain = Weight gain)
KEY TERMS: ‘’Sudden’’ ‘’excessive’’, ‘’rapid’’
REPORT: 1 Lb. in 1 day, or 2-3lbs in a few
s
SKINNY
Muscle & Bones ‘’Osteoporosis’’ (R/F Fx)
s
SIGHT
(Cataracts risk) refer to Optometrist
s
STRESS or Surgery
(increase dose)
s
SEPSIS (Infections or Illness)
‘’Low WBC’’ Fever is PRIORITY NCLEX TIP
s
SUGAR INCREASED
‘’Hyperglycemia’’ NCLEX TIP
s
SLOWLY taper off
(NEVER abruptly stop) NCLEX TIP
PREVENT CRISIS:
7 S’s STEROID PRECAUTIONS
‘’-sone’’ prednisone, hydrocortisone, dexamethasone
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N480 - Week 5 - Steroids - good notes
University: Western Carolina University
Was this document helpful?
Steroids
Notes
S – STEROIDS
S – Stress & Swelling hormone
“-Sone”
- Prednisone
- Dexamethasone
- Hydrocortisone
- Fludrocortisone
S S
STEROIDS Stress & Swelling
hormone
STEROIDS
Given to help the body respond to
inflammation & STRESS!
Commonly for:
•
Inflamed Lung like COPD
•
Inflamed joints like Rheumatoid Arthritis
•
Inflamed SKIN like Psoriasis
•
Inflamed body - like Lupus where the body
attacks itself
•
Allergic reaction where EVERYTHING swells UP
Also given to Addison clients
We need to ADD some steroids
COPD
Prednisone Dexamethasone
Hydrocortisone
Fludrocortisone
TOP 3 MISSED Questions:
The nurse should be concerned
when the client states:
“I have a sore on my leg that
won’t go away”.
Which medication should be
reviewed with HCP.
Select all that apply
Which priority teaching is
required for a patient prescribed
prednisone for Lupus?
Which of the follow is an
indication that the client needs
additional teaching,
while taking fludrocortisone?
1. Naproxen
2. Dihydromorphinone
3. Dexamethasone
4. Hydrocodone
5. Hydrocortisone
1. Report slight increases in blood
sugar to HCP immediately.
2. Increase dose before surgery
or during times of stress.
3. Monitor weight weekly.
4. Take with full meal at breakfast.
1. I will not discontinue this
medication abruptly
2. New bilateral pedal edema
is normal
3. The most important value
to monitor is my weight.
4. I will report signs &
symptoms of infection
Indication:
Drug name: ADDISON TREATMENTS:
sSWOLLEN (Water gain = Weight gain)
KEY TERMS: ‘’Sudden’’ ‘’excessive’’, ‘’rapid’’
REPORT: 1 Lb. in 1 day, or 2-3lbs in a few
sSKINNY
Muscle & Bones ‘’Osteoporosis’’ (R/F Fx)
sSIGHT
(Cataracts risk) refer to Optometrist
sSTRESS or Surgery
(increase dose)
sSEPSIS (Infections or Illness)
‘’Low WBC’’ Fever is PRIORITY NCLEX TIP
sSUGAR INCREASED
‘’Hyperglycemia’’ NCLEX TIP
sSLOWLY taper off
(NEVER abruptly stop) NCLEX TIP
PREVENT CRISIS:
7 S’s STEROID PRECAUTIONS
‘’-sone’’ prednisone, hydrocortisone, dexamethasone