adrenal drugs

Question 1

what is the acute and chronic replacement thereapy for addisons disease?

Answer 1

hydrocortisone

Question 2

what other disorder does hydrocortisone help?

Answer 2

cancer
inflammation
allergic reaction

Question 3

what is the expected mechanism of action for hydrocortisone?

Answer 3

mimic effects of the natural hormone

Question 4

what drug is the mineral corticoid?

Answer 4

fludrocortisone

Question 5

what is the adverse effects of hydrocortisone?

Answer 5

osteoporosis
adrenal suppresion
peptic ulcer, GI discomfort
infection

Question 6

what is the adverse effects of fludrocortison?

Answer 6

retention of sodium and water which may lead to hypertension, edema,heart failure and hypokalemia

Question 7

what should you do while taking hydrocortisone and being stressed? what about if you stop taking it?

Answer 7

being stressed, yuou increase dose

when you stop takig it, you taper off slowly

Question 8

a nurse is admittig a cliet to an acute care facility for a total hip arthroplasty. the client takes hydrocortisone for addisons disease. which of the following the priority nursing action?

a. administerig a supplement dose of hydrocortisoe
b. instructig the cliet about coughing and deep breathing
c. collecting addition information from the client about his history of addisons disease
d. inserting an indwelling catheter

Answer 8

a. administerig a supplement dose of hydrocortisoe

ati p.537

Question 9

a cliet has been taking a thiazide diuretic for treatment for hypertesion and has been prescribed hydrocortisone for a significant allergic reaction to shellfish. which symptom should be immediately reported to the provider?

1. irregular heart rate and rhythm
2. delayed wound healing
3. weight gain of 2 to 3 lbs in one week
4. elevated serum lipid levels

Answer 9

1. irregular heart rate and rhythm

Question 10

a client with adreocortical insufficiency has started therapy with fludrocortisone. what important intervention related to this drug therapy should the nurse teach to the client?

1. “report any abdominal pain or changed in your stool color.”
2. “return monthy for lab work to assess blood lipid levels.”
3. “report any unusual changes in your mood.”
4. “weight yourself daily, ideally at the same time each day.”

Answer 10

4. “weight yourself daily, ideally at the same time each day.”

Question 11

a client with chronic adreal insufficiency taking hydrocortisone and fludrocortisone is planing a family vacation. what essential teaching does this client need prior to taking this trip?

1. “take your bp once or twice while you’re gone.”
2. “avoid crowded indoor areas to avoid infection.”
3. “have your vision checked before you leave.”
4. “carry an oral and injectable form of both drugs with you on your trip.”

Answer 11

4. “carry an oral and injectable form of both drugs with you on your trip.”

Question 12

how should these drugs by administered?

Answer 12

oral or IV

and with food to reduce gastric distress