TOLENTINO, CYRILL ALEXANDRIA G.

BSN 2B

Generic Name: Nursing Responsibilities

Prednisone Action Rationale
Brand Name:
Sterapred 1. Check doctor’s order To know what to administer and what care to provide the patient

Dose/ Route/Frequency: 2. Observe the rights in medication administration of drug to

20 mg PO OD the patient. To avoid improperly drug administration

Mechanism of Action:
The short term effects of corticosteroids are decreased Adverse reactions and tolerance might occur
vasodilation and permeability of capillaries, as well as decreased 3. Administer the drug correctly
leukocyte migration to sites of inflammation. Corticosteroids
binding to the glucocorticoid receptor mediates changes in gene
expression that lead to multiple downstream effects over hours
to days.
Physiologic classification:
Corticosteroids are class of drugs that lowers inflammation in 4. Check and record BP during dose stabilization period at least Watch for changes that may signal onset of recurrence
the body. 2 times daily.

5. Monitor bone density. To maintain a sufficient intake of calcium or vitamin D to achieve the full benefit of
therapy
Pharmacologic Classification:
Corticosteroid decreases your immune system's response to
various diseases to reduce symptoms such as swelling and allergic- 6. Assess the patient’s typical level of exercise and physical
type reactions. Increased physical exertion and inadequate levels of exercise can add to fatigue
movement

7. Avoid exposure to infections Steroids lower down the immune system that may cause fever
Desired Effect:
To treat conditions like arthritis
8. Educate the patient to report adverse effects about the For early precaution in medication administration
medicine immediately
Indication/s:
Prednisone is indicated as an anti-inflammatory or 9. Teach the patient the safety precautions and drinking lots of To maintain nutrition even though nausea and vomiting may occur
immunosuppressive drug for allergic, dermatologic, fluids
gastrointestinal, hematologic, ophthalmologic, nervous system,
renal, respiratory, rheumatologic, infectious, endocrine, or
neoplastic conditions as well as in organ transplant. Used
systemically and locally in a wide variety of chronic diseases
Contraindication/s: To avoid ethical issues and baseline data
10. Document and record
Active untreated infections (may be used in patients being
treated for tuberculous meningitis); Some products contain
alcohol and should be avoided in patients with known
intolerance. Systemic fungal infections
Side Effects: Headaches, Muscle weakness, Nausea and Heartburn, Dangerously high blood pressure
Adverse Effects:
Cataracts, Osteoporosis, Insomnia, Hyperglycemia, Edema, Hypertension, Adrenal Suppression, and Delayed Wound Healing