Mineralcorticoids Flashcards
1
Q
Medications
A
- Cortisone
- Fludrocortisone
- Hydrocortisone
2
Q
Actions
A
- Holds sodium, and with it, water in the body
- Causes the excretion of potassium by acting on the renal tubule
3
Q
Indications
A
-Replacement therapy in primary and secondary adrenal insufficiency
4
Q
Contraindications
A
- Allergy
- HTN
- CHF
- Cardiac disease
5
Q
Caution
A
- Pregnancy
- Presence of any infection
- High sodium intake
6
Q
Adverse effects
A
-Increase fluid volumes, hypokalemia
7
Q
Drug-drug
A
-Decrease effectiveness with salicylates, barbiturates, hydantoins, rifampin, and anticholinesterases
8
Q
Assessment
A
- History: allergy, contraindications or cautions
- Physical: HF, HTN, infections; high sodium intake; lactation and pregnancy
9
Q
Nursing diagnoses
A
- Imbalanced nutrition: more than body requirements r/t metabolic changes
- Excess fluid volume r/t sodium retention
- Impaired urinary elimination r/t sodium retention
- Deficient knowledge
10
Q
Implementation
A
- Use only in conjunction with appropriate glucocorticoids
- Increase dose in times of stress
- Monitor for hypokalemia
- Discontinue if signs of overdose (excessive weight gain, edema, hypertension, cardiomegaly)
- Pt teaching
11
Q
Evaluation
A
- Monitor patient response
- Evaluate the effectiveness of the teaching plan
- Evaluate the effectiveness of comfort measures
- Evaluate patient compliance with the regimen
