N322 Adrenal Disorder Medications Exam Questions and Answers Fully Solved Latest Version

N322 Adrenal Disorder Medications Exam Questions and Answers Fully Solved Latest Version hydrocortisone (Solu-Cortef), prednisone, dexamethasone - Answers Protype(s) of Glucocorticoids Makes cortisol available for cellular functioning. Cortisol is needed to make glucose available for use and promote breakdown proteins and lipids for synthesis of glucose. Need increases with stress. - Answers MOA for hydrocortisone (Solu-Cortef), prednisone, dexamethasone Replacement therapy for acute and chronic adrenocortical insufficiency (Addison's disease) - Answers Appropriate therapeutic use for hydrocortisone (Solu-Cortef), prednisone, dexamethasone Given PO- total dose at HS or divided (2/3 in am and 1/3 early afternoon). Taper dose gradually, use lowest dose. - Answers Route for prednisone Give IV for emergencies - Answers Route for hydrocortisone (Solu-Cortef), dexamethasone SE/AE: No contraindications/precautions or drug interactions in low therapeutic doses. If higher doses for pain/inflammation, more side effects. - Answers Nursing implication of hydrocortisone (Solu-Cortef), prednisone, dexamethasone Monitor signs of inappropriate dosing: Hypercortisolism-hyperglycemia, fat redistribution, osteoporosis - Answers Nursing implication of hydrocortisone (Solu-Cortef), prednisone, dexamethasone Monitor signs of inappropriate dosing: Hypocortisolism-fatigue, weakness, wt loss, hypoglycemia - Answers Nursing implication of hydrocortisone (Solu-Cortef), prednisone, dexamethasone Monitor CBC, electrolyte, glucose and glucocorticoid level at baseline and periodically - Answers Nursing implication of hydrocortisone (Solu-Cortef), prednisone, dexamethasone Educate to wear medic alert bracelet and carry emergency supply of glucocorticoids - Answers Nursing implication of hydrocortisone (Solu-Cortef), prednisone, dexamethasone Give supplemental doses when higher stress-physical/mental. Usually 3x regular dose for 3 days. - Answers Nursing implication of hydrocortisone (Solu-Cortef), prednisone, dexamethasone Educate on lifelong therapy - Answers Nursing implication of glucocorticoids (i.e. hydrocortisone) & Mineralocorticoids (i.e. fludrocortisone) Wear medic alert band - Answers Nursing implication of glucocorticoids (i.e. hydrocortisone) & Mineralocorticoids (i.e. fludrocortisone) fludrocortisone (Florinef) - Answers Protype(s) of Mineralocorticoids Synthesizes aldosterone which helps promote Na+, water reaborption and K+excretion) - Answers MOA for fludrocortisone (Florinef)