COLLEGE OF NURSING

RLE
NCM 1O7: CARE OF THE MOTHER, CHILD & ADOLESCENTS (WELL CLIENT)
DRUG STUDY #: 2

NAME: Maria Dianne B. Ulanday BSN2 Group E Submitted to: Mace R. Cenido-Villalon, RN,MAN DATE : November 22, 2023

NAME OF DRUG CONTRAINDICATIO NURSING

DOSAGE / ROUTE/ FREQUENCY ACTION ADVERSE EFFECTS
BRAND/GENERIC N CONSIDERATIONS
Parenteral Mechanism of Action: Significant: Systemic infections (unless Assessment
Anti-inflammatory or immunosuppressive Adrenal suppression (e.g. hypercortisolism, treated with specific anti- History: Infections; kidney disease;
Hydrocortisone is a suppression of hypothalamic-pituitary- infective), cerebral malaria; liver disease, hypothyroidism;
Child: As hydrocortisone Na succinate: glucocorticoid that reduces adrenal [HPA] axis), immunosuppression untreated oral infection ulcerative colitis with impending
Initially, 0.5-8 mg/kg daily or 20-240 mg/m2 inflammation by suppressing the (prolonged use), Kaposi sarcoma (buccal tab). perforation; diverticulitis; recent GI
daily in 3 or 4 divided doses. Alternatively, migration of polymorphonuclear (prolonged use), acute myopathy, surgery; active or latent peptic ulcer;
>25 mg daily. leukocytes and reversing the myocardial rupture, osteoporosis, growth Parenteral: Idiopathic inflammatory bowel disease;
increased capillary permeability. retardation (in infancy, childhood, and thrombocytopenic purpura hypertension, CHF; thromboembolitic
Dosage is individualised and adjusted Topically, it has anti- adolescence), visual disturbances (e.g. (IM); infected joint or tendencies, thrombophlebitis,
according to the disease being treated, the inflammatory, anti-pruritic, and blurred vision, increased intraocular surrounding tissues; inj osteoporosis, seizure disorders,
severity of the condition, and patient vasoconstrictive effects. pressure, glaucoma, posterior subscapular directly into the tendons, metastatic carcinoma, diabetes
response. Refer to the disease-specific Synonym: cortisol. cataract, central serous chorioretinopathy, spinal or other non- mellitus; lactation. Retention enemas,
product guidelines for detailed dosage corneal perforation), scleroderma renal diarthrodial joints (intra- intrarectal foam: Systemic fungal
recommendations. crisis, psychiatric disturbances (e.g. articular/local inj). Rectal: infections; recent intestinal surgery,
insomnia, euphoria, mood swings, Systemic fungal infections, extensive fistulas.
Generic name: Hydrocortisone personality changes, severe depression, ileocolostomy during the
psychotic manifestations), seizures; venous immediate or postoperative Physical: Systemic administration:
Brand names: thromboembolism, epidural lipomatosis period (enema); abscess, Weight, T; reflexes, affect, bilateral
Clovisone (high dose, prolonged use); dermal or obstruction, perforation, grip strength, ophthalmologic
Corbal/Corbal-250 subdermal skin depression at inj site. peritonitis, fresh intestinal examination; BP, P, auscultation,
Cortin anastomoses, extensive peripheral perfusion, discoloration,
Cortin 20 Blood and lymphatic system disorders: fistulas and sinus tracts pain or prominence of superficial
Cortis 100 Leucocytosis. (foam). vessels; R, adventitious sounds, chest
Costeron-H Ear and labyrinth disorders: Vertigo. x-ray; upper GI x-ray (history or
Cylocortix symptoms of peptic ulcer), liver
Dermablend Hydrocortisone Gastrointestinal disorders: Diarrhoea, palpation; CBC, serum electrolytes, 2-
 COLLEGE OF NURSING
nausea, abdominal pain, dyspepsia,
pancreatitis, oesophageal candidiasis;
peptic ulceration with perforation and
haemorrhage.
General disorders and administration
site conditions: Fatigue, malaise; inj site
reactions (e.g. local pain, swelling);
application site reactions (e.g. localised
pain, burning sensation, rectal bleeding).
Cream
Infections and infestations: Secondary
Dermablend Hydrocortisone
infection, folliculitis.
Lotion
Investigations: Increased weight, increased
Docor 100/Docor 250
AST/ALT.
Droxiderm
Metabolism and nutrition disorders: hr postprandial blood glucose,
Efficort
Salt and water retention, hypokalaemia, urinalysis, thyroid function tests,
Hovicor
impaired glucose tolerance, hypokalaemic serum cholesterol.
Hycort
alkalosis, increased appetite.
Hydrotopic
Musculoskeletal and connective tissue WARNING: Do not give live virus
Hydrotopic Cream
disorders: Arthralgia, tendon rupture, vaccines with immunosuppressive
Hyzonate
fracture. doses of hydrocortisone.
Lacticare-HC
Nervous system disorders: Headache,
Ocecor
paraesthesia.
Solu-Cortef
Psychiatric disorders: Anxiety, irritability.
Sorvilor
Reproductive system and breast disorders:
Syntesor
Menstrual irregularity, amenorrhoea.
Verdicort
Skin and subcutaneous tissue disorders:
Rash, pruritus, acne, dryness,
hypertrichosis, acneiform eruption, perioral
dermatitis, hypopigmentation,
telangiectasia, striae, miliaria. Rarely, skin
atrophy.
Vascular disorders: Hypertension.
Potentially Fatal: Adrenal insufficiency,
phaeochromocytoma crisis, adrenal crisis.