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Adrianne Bazo

October 21, 2008

Clinical Medications Worksheet


Generic Name Trade Name Classification Dose Route Time/frequency
Prednisone Predacot corticosteroids 10 mg PO Q day
Peak Onset Duration Normal dosage range
unknown 1 hr 1.25-1.5 days 5-60mg/day single dose or divided doses.
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
RH solutions
N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Supress inflammation and the normal immune Chronic treatment (will lead to adrenal suppression; use lowest
response. Used systemically and locally in a wide possible dose for shortest period of time)
variety of chronic diseases including: Common side effects
Inflammatory, Allerfic, Hematologic, Neoplastic, Depression, euphoria, hypertension, anorexia, nausea, acne,
decreased wound healing, ecchymoses, fragility, hirsutism,
and Autoimmune disorders.
petechiae, adrenal suppression, muscle wasting, osteoporosis,
cushingoid appearance (moon face, buffalo hump)
Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) Monitor serum electrolytes and glucose. May cause
None known for this patient hyperglycemia, 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
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. Patient should also
report unusual swelling, weight gain, tiredness, bone pain, bruising,
non-healing 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 med? Decrease in RA symptoms
Monitor intake and output ratios and daily weights.
insufficiency (hypotension, weight Observe patient for peripheral edema, steady
with minimal systemic side
loss, weakness, nausea, vomiting, weight gain, rales/crackles, or dyspnea. Notify effects.
anorexia, lethargy, confusion, physician or other health care professional if these
occur
restlessness) before and periodically Cerebral Edema: Assess patient for changes in level
during therapy. of consciousness and headache during therapy
Do not hold dose, these drugs must be gradually
decreased.

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