ACTIVE LEARNING TEMPLATE: Medication

Michael Everette
STUDENT NAME______________________________________
Prednisone, Bedesonide, Fluticasone inhaler, Dexamenthasone, Betamethasone REVIEW MODULE CHAPTER__127
MEDICATION___________________________________________________________________________ __________

CATEGORY CLASS__Glucocorticoid Steroid

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PURPOSE OF MEDICATION

Expected Pharmacological Action Therapeutic Use

Prevent inflammation, suppress airway mucus Short term IV agents are used for status asthmaticus
production, promote responsiveness of beta2 Long term management of chronic asthma
receptors in bronchial tree Short term management of post-exacerbation
Reduce airway mucosa edema symptoms

Complications Medication Administration

Suppression of adrenal gland function Dry mucous membranes
Bone loss Sore throat Inhalant: use on a regular
Hyperglycemia & glycosuria
Myopathy
Headaches
Insomnia
schedule
Peptic ulcer disease Do not use for acute attack
Infection
Disturbance of fluid & electrolytes Oral: use oral therapy twice a
daily for 5-10 days
Nasal:

Contraindications/Precautions
Contraindications: in clients who have received a live virus
vaccine & those who have systemic fungal infections
Precautions: children & clients w. DM, hypertension, heart failure, Nursing Interventions
peptic ulcer disease, osteoporosis, immunosuppression, & kidney Monitor weight gain & edema
failure Provide/prescribe a spacer
Observe for suppression of adrenal
function
Monitor for signs of bone demineralization
Monitor blood glucose levels
Interactions Recommend adjustment of dosages
accordingly
Potassium-depleting diuretics increases the risk of hypokalemia Observe for GI bleeding
NSAIDs increases the risk of GI ulceration
Glucocorticoids & hypoglycemic agents (oral & insulin)
counteract the effects
Client Education
Consume a diet w. sufficient
Evaluation of Medication Effectiveness calcium & vitamin D

Long-term control of asthma

Resolution of acute exacerbation as demonstrated by
absence of SOB, clear breath sounds, absence of
wheezing, & return of respiratory rate to baseline

ACTIVE LEARNING TEMPLATES