UNIT 9 Glucocorticoid CHAPTER 49

Question 1

Does Prednisone excrete Potassium?

Answer 1

YES

ADRENAL GLANDS
* PRODUCES GLUCOCORTICOIDS (CORTISOL)
* PROMOTE SODIUM AND WATER RETENTION,
POTASSIUM EXCRETION
* ADRENAL HYPOSECRETION (ADDISON’S DISEASE)
* LEVELS CONTROLLED BY NEGATIVE FEEDBACK

Question 2

What class is Prednisone?

A. Opiod
B.adrenergic agonist
C. Mineralglucocorticoid
D. Glucocorticoid

Answer 2

D. Glucocorticoid

Question 3

What is the use of Predinose?

Answer 3

PREDNISONE
* ACTION
* AFFECT INFLAMMATORY RESPONSE
* AFFECT CARBOHYDRATE, PROTEIN, AND FAT METABOLISM
* AFFECT MUSCLE AND BLOOD CELL ACTIVITIES

• USE
• INFLAMMATION, ULCERATIVE COLITIS, GLOMERULONEPHRITIS
• AUTOIMMUNE DISORDERS
• DRUG REACTIONS, ANAPHYLAXIS
• ASTHMA
• PREVENT ORGAN REJECTION
• CONTROLLED BY ACTH IN BRAIN

Question 4

What are side effects of Prednisone?

Answer 4

SIDE EFFECTS
* NAUSEA, DIARRHEA, ABDOMINAL DISTENSION, INCREASED
APPETITE
* SWEATING, HEADACHE, FLUSHING
* MOOD CHANGES, DEPRESSION, CATARACTS, AMENORRHEA(absence of periods)

Question 5

What are Adverse effects of Glucococorticoid?

Answer 5

ADVERSE REACTIONS – THINK OF CUSHING’S DISEASE
* PETECHIAE, THIN SKIN, ECCHYMOSIS, OSTEOPOROSIS
* TACHYCARDIA, HYPERTENSION
* HYPERGLYCEMIA, ABNORMAL FAT DEPOSITS, MUSCLE
WASTING, EDEMA
* SODIUM AND FLUID RETENTION, POTASSIUM LOSS
* CIRCULATORY COLLAPSE, THROMBOPHLEBITIS, EMBOLISM

Question 6

Assessment for Prednisone

Answer 6

ASSESSMENT
 BASELINE VITAL SIGNS
 LABS
 SODIUM, POTASSIUM, BLOOD GLUCOSE
 WEIGHT
 URINE OUTPUT
 MEDICAL/MEDICATION HISTORY
 GLAUCOMA, CATARACTS, PEPTIC ULCER, PSYCH
ISSUES, DM

Question 7

Nursing Intervention for Prednisone

Answer 7

NURSING INTERVENTIONS
* VS
* WEIGHT
* LUNG SOUNDS
* MONITOR ELECTROLYTES, BLOOD SUGAR
* MONITOR FOR SIGNS AND SYMPTOMS OF ELECTROLYTE
IMBALANCE
* HYPOKALEMIA – N/V, MUSCULAR WEAKNESS, ABDOMINAL
DISTENSION, IRREGULAR HEART RATE
* INCREASE POTASSIUM DIET
* MONITOR FOR SIDE EFFECTS/ADVERSE REACTIONS
* OSTEOPOROSIS IN THE OLDER ADULT