NURS 615 exam 3 – Maryville Questions & Answers

NURS 615 exam 3 – Maryville Questions & Answers corticosteroid drugs - Answer ️️ -prednisone, methylprednisolone, dexamethasone, topical such as hydrocortisone, and then joint injections for pain MOA of corticosteroids drugs - Answer ️️ -drugs that suppress inflammation by mimicking glucocorticoid hormones Inhibit interleikin one, tumor necrosis factor and other cytokines, impairs phagocytosis, impairs lymphocytes, and inhibits tissue repair indications for cortocosteriod use - Answer ️️ -Allergy or hypersensitivity, respiratory, shock, rheumatology, neurology, hepatic, neoplastic... basicly every organ is covered if there is an issue. withdrawal from corticorsteriod symptoms - Answer ️️ -malaise, myalgia, headache, nausea, fevers, hypotension and relapse of symptoms (pain, inflammation, ashtma) what must you do with corticosteriods to prevent withdrawal - Answer ️️ -Must taper them down, you can have possible adrenal crisis if you do not. corticosteriod considerations - Answer ️️ -suppression patients response to infections- no live viral vaccines, and have increased susceptibility to disease. If used over 6 months: Increase blood glucose, impair immune function (get vaccines) , impair wound healing, GI complaints (report black tarry stools) , osteoporosis (decreases calcium), anxiety/insomnia, sodium & fluid retention 9monitor weight and fluid retention) If on 1gram or more also prescribe PPI (omeprazole) to prevent