DRUG NAME MECHANISM OF INDICATION
ACTION
Generic name: Enter the target cells and
hydrocortisone bind to cytoplasmic
receptors, initiating many
Brand name: complex reactions that are
Cortef responsible for anti-
inflammatory and
immunosuppressive effects
CONTRAINDICATION SIDE EFFECTS/ NURSING
ADVERSE EFFECTS CONSIDERATION
Replacement Presence of any known Vertigo, headache, Baseline assessment
therapy, allergy to any steroid paresthesias, insomnia, Assess history of allergy to
treatment of preparation to avoid convulsions, psychosis, any steroid preparations,
allergic and hypersensitivity pancreatitis, nausea, acute infections, peptic ulcer
inflammatory reactions; in the vomiting, weight gain, disease, pregnancy,
disorders presence of an acute hypotension, shock, heart lactation, endocrine
infection; and with failure secondary to fluid disturbances and renal
lactation retention, dysfunction
thrombophlebitis,
Caution should be used hypokalemia, Assess weight, temperature,
in patients with diabetes; hypocalcemia, increased orientation and affect; grip
acute peptic ulcers; and blood sugar, muscle strength, eye examination;
with other endocrine weakness, steroid blood pressure, pulse,
disorders myopathy, loss of muscle peripheral perfusion and
mass, osteoporosis, vessel evaluation;
cataracts, glaucoma, respiration and adventitious
petechiae, ecchymoses, breath sounds; glucose
purpura, amenorrhea, tolerance, renal function,
immunosuppression, serum electrolyte and
aggravation or masking endocrine function tests
of infections, impaired
wound healing Intervention/evaluation
Monitor patient response to
the drug
Monitor for adverse effects
Evaluate effectiveness of the
teaching plan