DRUG CLASSIFICATION INDICATION SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Body as a
Whole: Arthralgia,  BLACK BOX WARNING: Taper systemic
Generic Name: Budesonide belongs to a Budesonide is used to  Nausea, fatigue, fever, steroids carefully during transfer to
class of drugs known control and prevent  Heartburn, hyperkinesis, myalgia, inhalational steroids; deaths from adrenal
Budesonide symptoms (wheezing
as corticosteroid asthenia, paresthesia, insufficiency have occurred.
Inhalation and shortness of breath)  Stomach pain,
tremor.   Arrange for use of decongestant nose drops
caused by asthma. This  indigestion, to facilitate penetration if edema, excessive
medication belongs to a CNS: Dizziness,
class of drugs known as
 Headache, emotional lability, facial
secretions are present.
Brand Name:  Prime unit before use for Pulmicort
corticosteroids. It works  Thinning of the edema, Turbuhaler; have patient rinse mouth after
Pulmicort Flexhaler directly in the lungs to nervousness, headache, 
skin, each use.
make breathing easier agitation, confusion,
by reducing the irritation
 Easy bruising, insomnia, drowsiness. 
 Use aerosol within 6 mo of opening. Shake
well before each use.
Dosage: and swelling of the  Runny or stuffy  Store Respules upright and protected from
airways. CV: Chest pain,
180 mcg
nose, hypertension, light; gently shake before use; open
MECHANISM OF CONTRAINDICATIONS  Cough, palpitations, sinus envelopes should be discarded after 2 wk.
ACTION tachycardia.   Monitor patients with moderate to severe
 Pulmicort is  Sore throat, liver disease for increased S&S of
Route: Glucocorticoid steroids contraindicated if you  Muscle pain, GI: Abdominal pain, hypercorticism.
such as cortisol are allergic to dyspepsia,  Lab tests: Periodic serum potassium.
Oral inhalation budesonide, or if: you  Skin rash, or
or budesonide have gastroenteritis, oral
potent anti- have a severe allergy to  Changes in your candidiasis, xerostomia,
inflammatory actions tha milk proteins; or. you
menstrual diarrhea, nausea,
Frequency: are having an asthma
t reduces inflammation vomiting, cramps. 
attack. periods.
and hyper-reactivity  
bid Hematologic: Epistaxis. 
(spasm) of the airways
caused by asthma. When Metabolic: Hypokalemia,
used as an inhaler, weight gain. 
the budesonide goes
Respiratory: Bronchospa
directly to the inner
sms, infections, cough,
lining of the inflamed
rhinitis, sinusitis,
airways to exert its
dyspnea, hoarseness,
effects.
wheezing. 

Skin: Eczema, pruritus,
purpura, rash,
alopecia. Special

Senses: Contact
dermatitis, reduced
sense of smell, nasal
 pain. 

Urogenital: Intermenstru
al bleeding, dysuria.