N322 Respiratory Glucocorticoids Exam Questions and Answers Fully Solved Latest Update

N322 Respiratory Glucocorticoids Exam Questions and Answers Fully Solved Latest Update Contraindicated live virus vaccines and those with systemic fungal infections - Answers Nursing implication of glucocorticoids Caution with use in children and clients with diabetes, hypertension, heart failure, peptic ulcer disease, osteoporosis and or kidney dysfunction - Answers Nursing implication of glucocorticoids Concurrent use of steroid medication and nonsteroidal anti-inflammatory medication increase the risk of G.I. ulcers - Answers Nursing implication of glucocorticoids Concurrent use of potassium deleting diuretics such as furosemide can cause hypokalemia - Answers Nursing implication of glucocorticoids These medications interfere with the effectiveness of oral hypoglycemic agents and insulin - Answers Nursing implication of glucocorticoids Pregnancy category C - Answers Nursing implication of glucocorticoids SE: difficulty speaking, hoarseness, overgrowth of yeast or Candida infection. Rinse mouth after administering this medication. - Answers Nursing implication of glucocorticoids SE/AE: RAAS interference - Fluid retention, weight gain, edema, fluid & electrolyte imbalances. Report weight gain, edema, hypokalemia, generalized weakness. - Answers Nursing implication of glucocorticoids SE: Suppressed adrenal gland function (MOST SERIOUS SE). Seen more with long term use of high dose or oral. Use lowest dose or alternate day scheduling. Taper long-term dosage do not stop abruptly. - Answers Nursing implication of glucocorticoids SE: immunosuppression: increased risk of infection - Answers Nursing implication of glucocorticoids SE: neuromuscular: myopathy. Monitor for muscle weakness. Dosage must be decreased - Answers Nursing implication of glucocorticoids SE: psychological r/t stimulant effects in initial dosing - feelings of anxiety, shakiness - Answers Nursing implication of glucocorticoids Monitor for blood sugar changes especially in prolonged use (hyperglycemia). Interferes with oral hypoglycemics and insulin. Report polyphagia, polydipsia, polyuria. - Answers Nursing implication of glucocorticoids Prednisone - Answers Prototype(s) of Oral/Parenteral Glucocorticoids methylprednisolone (Solumedrol IV) - Answers Prototype(s) of Oral/Parenteral Glucocorticoids Suppress immune system and inflammation - Answers MOA for prednisone, methylprednisolone (Solumedrol IV) Used for short term management of symptoms r/t asthma exacerbation - Answers Appropriate therapeutic use for prednisone, methylprednisolone (Solumedrol IV) Can be used for status asthmaticus - Answers Appropriate therapeutic use for methylprednisolone (Solumedrol IV)