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Name Indication Action Adverse Effect Contraindication Nursing Consideration Patient Teaching
Name Indication Action Adverse Effect Contraindication Nursing Consideration Patient Teaching
Name Indication Action Adverse Effect Contraindication Nursing Consideration Patient Teaching
Consideration
1. Dexamethasone -Hypercalemia Enters target cell CNS: Contraindicated Nursing Systemic
associated with and binds to -Seizures, vertigo, with infections, considerations administration
cancer specific receptor, headaches, especially Assessment -Do not stop taking
-Short term initiating many psedotumor cerebri, tuberculosis, fungal -History for the oral drug
management of complex reaction euphoria, insomnia, infections, systemic without consulting
various inflammatory that are responsible mood swings, amebiasis, vaccinia administration: health care
and allergic disorder for its anti- depression, and varicella, and Active infections; provider.
-Hematologic inflammatory and psychosis, antibiotic-resistant renal or hepatic -Avoid exposure to
disorders immunosuppressive intracerebral infections, allergy to disease; infection.
(Thrombocytopenia, effects. hemorrhage, any component of hypothyroidism, -Report unusual
pupura, reversible cerebral the preparation ulcerative colitis; weight gain,
erythroblastopenia) atrophy in infants, used. diverticulitis; active swelling of the
-Trichinosis with cataracts, IOP, or latent peptic ulcer; extremities, muscle
neurologic or glaucoma Use cautiously with inflammatory bowel weakness, black or
myocardial CV: renal or hepatic disease; CHF, tarry stools, fever,
involvement Hypertension, heart disease; hypertension, prolonged sore
-Ulcerative colitis, failure, necrotizing hypothyroidism, thromboembolic throat, colds or
acute exacerbation angiitis ulcerative colitis disorders; other infections,
of MS, and palliation Endocrine: with impending osteoporosis; worsening of this
in some leukemia Growth retardation, perforation; seizure disorders; disorder.
and lymphomas. decreasing diverticulitis; active diabetes mellitus; Intra-articular
Cerebral Edema carbohydrate or latent peptic lactation administration
associated with tolerance, diabetes ulcer; inflammatory For ophthalmic -Do not overuse
brain tumor, mellitus, cushingoid bowel disease; preparations: acute joint after therapy,
craniotomy and state decondary CHF, hypertension, superficial herpes even if pain is
head injury. adrenocortical and thromboembolic simplex keratitis, gone.
-Intra-articular or soft pituitary disorders; fungal infections of Respiratory:
tissue unresponsiveness. osteoporosis; ocular structures; inhalant, intranasal
administration; GI: seizure disorders; vaccinia, varicella, preparation
Arthritis, psoriatic Peptic and diabetes mellitus; and other viral -Do not use more
plaques esophageal ulcer, lactation. diseases of the often than
-Respiratory Inhalant pancreatitis and cornea and prescribed.
: Control of bronchial abdominal conjunctiva; ocular -Do not stop using
asthma requiring distention tuberculosis this drug without
corticosteroids in GU: -Physical for consulting health
conjunction with Amenorrhea, systemic care provider.
therapy irregular menses administration: -Use the
-Intranasal: Relief of Hematologic: Baseline body inhalational
symptoms of Fluid and electrolyte weight, temperature; bronchodilator
seasonal or disturbances, reflexes, and grip drug before using
perennial rhinitis that negative nitrogen strength, affect, and the oral inhalant
responds poorly to balance, increase orientation; P, BP, product when
other treatments. blood sugar, peripheral perfusion, using both.
-Dermatologic glycosuria, increase prominence of -Administer
preparation: Relief of serum cholesterol, superficial veins; R decongestant nose
inflammatory and decrease serum T3 and adventitious drops first if nasal
pruritic manifestation and T4 levels sounds; serum passages are
dermatoses that are Hypersensitivity: electrolytes, blood blocked.
steroid responsive Muscle weakness, glucose Topical:
-Ophthalmic steroid myopathy, For topical -Apply the drug
preparations: loss of mucle mass, dermatologic sparingly.
Inflammation of the osteoporosis, preparations: -Avoid contact with
lid, conjunctiva, spontaneous affected area for eyes.
cornea, and globe fracture infections, skin injury -Report any
irritation or
Interventions infection at the site
-For systemic of application.
administration, do Ophthalmic
not give drug to -Administer as
nursing mothers; follows: Lie down
drug is secreted in or tilt head
breast milk. backward and look
-Give daily doses at ceiling. Warm
before 9 AM to tube of ointment in
mimic normal peak hand for several
corticosteroid blood minutes. Apply
levels. one-fourth to one-
-Increase dosage half inch of
when patient is ointment, or drop
subject to stress. suspension inside
-Taper doses when lower eyelid while
discontinuing high- looking up. After
dose or long-term applying ointment,
therapy. close eyelids and
-Do not give live roll eyeball in all
virus vaccines with directions. After
immunosuppressive instilling eye drops,
doses of release lower lid,
corticosteroids. but do not blink for
-For respiratory at least 30 sec;
inhalant, intranasal apply gentle
preparation, do not pressure to the
use respiratory inside corner of the
inhalant during an eye for 1 min. Do
acute asthmatic not close eyes
attack or to manage tightly, and try not
status asthmaticus. to blink more often
-Do not use than usual; do not
intranasal product touch ointment
with untreated local tube or dropper to
nasal infections, eye, fingers, or any
epistaxis, nasal surface.
trauma, septal -Wait at least 10
ulcers, or recent min before using
nasal surgery. any other eye
-Taper systemic preparations.
steroids carefully -Eyes will become
during transfer to more sensitive to
inhalational steroids; light (use
adrenal insufficiency sunglasses).
deaths have Report worsening
occurred. of the condition,
-For topical pain, itching,
dermatologic swelling of the eye,
preparations, use failure of the
caution when condition to
occlusive dressings, improve after 1 wk.
tight diapers cover
affected area; these
can increase
systemic absorption.
-Avoid prolonged
use near the eyes, in
genital and rectal
areas, and in skin
creases.
GU System:
Urinary frequency,
difficult urination,
urinary retention,
early menses.
Respiratory
System:
Thickening of
bronchial secretions,
tightness of chest
and wheezing, nasal
stuffiness.