Cor Jesu College

Sto. Rosario, Tres De Mayo Digos City

Health Sciences Department
DRUG STUDY

Name of Patient: Labrador. Lilia Area: ICU- Bed #2

Mechanism of Nursing Dosage/

Generic Name Indications Contraindications Adverse effects
Action Consideration Frequency

Hydrocortisone Enters target cells  Replacement Concentrations  The ten patient’s CNS: Vertigo, 100 mg every
and binds to therapy in adrenal - Allergy to any rights by Joyce Kee: headache, 6hours
cytoplasmic cortical insufficiency component of the paresthesias,
Brand Name: receptor; initiates  Allergic states – drug 1. the insomnia, seizures, Route:
Cortef, Solu- many complex severe or right client; psychosis IVTT
cortef, reactions that are incapacitating - Fungal infections CV: Hypotension,
2. the
Hydrocortone, responsible for its allergic conditions shock, HPN and heart
right drug;
Cortenema anti-inflammatory,  Hematologic - Amebiasis failure secondary to
immunosuppressiv disorders 3. the fluid retention,
Classification: e (glucocorticoid),  Ulcerative colitis - Hepatitis B right dose; thromboembolism,
Pharmacologic and salt-retaining thrombophlebitis, fat
class: Short- (mineralocorticoid - Vaccinia or varicella 4. the embolism, cardiac
acting ) actions. Some right time; arrhythmias
corticosteroid, actions may be - Antibiotic-resistant Dermatologic: Thin,
undesirable, infections 5. the fragile skin,
adrenal cortical
depending on drug right route; petechiae,
steroid,
cortcosteroid, use. - Immunosuppression ecchymoses, purpura,
6. the
glucocorticoid striae, subcutaneous
right
Precaution fat atrophy
assessment;
Therapeutic - Kidney disease EENT: Cataracts,
class: Hormonal - Liver disease 7. the glaucoma, increased
- Cirrhosis right document; IOP
- Hypothyroidism Endocrine:
- Ulcerative colitis 8. the Amenorrhea, irregular
with impending client’s right to mens, growth
perforation education; retardation,
- Diverticulitis decreased
9. the carbohydrate
- Recent GI surgery right tolerance and DM,
- Active or latent evaluation; and cushingoid state, HPA
peptic ulcer suppression systemic ,
- Inflammatory bowel 10. the hyperglycemia
diease client’s right GI: Peptic or
- Hypertension to refuse. esophageal ulcer,
- Thromboembolic pancreatitis,
Before
tendencies abdominal distention,
- Assess for
- Heart failure nausea, vomiting,
contraindications.
- Osteoporosis increased appetite
- Assess body weight,
- Convulsive disorders and weight gain
skin color, V/S,
- Metastatic Hematologic: Na and
urinalysis, serum
carcinoma fluid retention,
electrolytes, X-rays,
- Diabetes mellitus hypocalcemia,
CBC.
- TB increased blood
- Arrange for increased
- Lactation sugar, increased
dosage when patient
serum cholesterol,
is subject to unusual
decreased T3 and T4
stress.
levels
- Do not give live
Hypersensitivity:
vaccines with
Anaphylactoid or
immunosuppressive
hypersensitivity
doses of
reactions
hydrocortisone.
Musculoskeletal:
- Observe the 15 rights
Muscle weakness,
of drug administration.
steroid myopathy and
loss of muscle mass,
During
osteoporosis,
- Give daily before
spontaneous
9am to mimic normal
fractures
peak diurnal
Other:
corticosteroid levels.
Immunosuppression,
- Space multiple doses
aggravation or
evenly throughout the
masking of infections,
day.
impaired wound
- Use minimal doses
healing
for minimal duration
to minimize adverse
effects.
- Do not give IM
injections if patient
has thrombocytopenic
purpura.
- Taper doses when
discontinuing high-
dose or long-term
therapy.

After
- Monitor client for at
least 30 minutes.
- Educate client on the
side effects of the
medication and what
to expect.
- Instruct client to
report pain at injection
site.
- Instruct client to take
drug exactly as
prescribed.
- Dispose of used
materials properly.
- Document that drug
has been given.