Lecture 5 Drugs

Question 1

Prednisone -glucocorticoid, anti-inflammatory
5 s’s Steroids
SEX SALT SUGAR SICK SAD
lower libido
retains salt- weight gain
higher glucose level
easier to get sick
depression

Answer 1

ORAL ROUTE
Asthma, allergic reactions, inflammatory bowel diseases, adrenal, blood, or bone marrow disorders

decreases inflammation, suppresses immune response
Interactions: NSAIDS
SE: weight gain, fluid retention, hyperglycemia
DO NOT ABRUPTLY STOP TAKING DRUG
ASSESS FOR FLUID RETENTION
MONITOR GLUCOSE LEVELS

Question 2

methylprednisone (solumedrol)
5 s’s Steroids
SEX SALT SUGAR SICK SAD

Answer 2

IV ROUTE
Asthma, allergic reactions, inflammatory bowel diseases, adrenal, blood, or bone marrow disorders

decreases inflammation, suppresses immune response
Interactions: NSAIDS
SE: weight gain, fluid retention, hyperglycemia
DO NOT ABRUPTLY STOP TAKING DRUG
ASSESS FOR FLUID RETENTION
MONITOR GLUCOSE LEVELS

Question 3

dexamethasone (decadron)
5 s’s Steroids
SEX SALT SUGAR SICK SAD

Answer 3

Topical (eyes)
Asthma, allergic reactions, inflammatory bowel diseases, adrenal, blood, or bone marrow disorders

decreases inflammation, suppresses immune response
Interactions: NSAIDS
SE: weight gain, fluid retention, hyperglycemia
DO NOT ABRUPTLY STOP TAKING DRUG
ASSESS FOR FLUID RETENTION
MONITOR GLUCOSE LEVELS

Question 4

Tylenol

Answer 4

mild pain
watch for liver toxicity
max 3000mg per day 2000mg for older adult/liver issues

Question 5

NSAIDS
Ibuprofen-Advil
Aspirin
Aleve- Naproxen

Answer 5

mild pain, anti inflammatory

SE: GI UPSET- take w/ food
Bleeding Risk
Monitor Renal Function

Children cannot have aspirin- reye’s syndrome

Question 6

Opioids (Morphine, Hydrocodone, Oxycodone)

Answer 6

moderate-severe pain
SE: sedation, GI upset

WATCH FOR RESPIRATORY DEPRESSION