Prednisone Case Presentation

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Prednisone: 5mg daily PO. Patient is on this medication for severe inflammation and due to immune suppression from chemo/radiation. (deltasone, meticorten, prednisone intensol) anti-inflammatory med, corticosteroid. Side effects: peptic ulcer/possible perforation, depression, hypertension, circulatory problems, nausea, diarrhea, abdominal distension, hyperglycemia, psychic derangements. Nursing considerations: monitor blood sugar in diabetic patients due to cause’s hyperglycemia. Contact physician if patient presents with black/tarry stools, slow wound healing, blurred vision, brusing/bleeding, weight gain, difficulty breathing, dizziness or any emotional changes. PO: peak 1-2 hrs duration 24-36 hrs.
Mupirocin (centany, bactroban): Anti bacterial. …show more content…
Patient on med to treat anxiety 1 mg, Q4hrs, PRN/ IV. Side effects: dizziness, drowsiness, orthostatic hypotension, visual disturbances, weakness, disorientation. Nursing considerations: do not stop drug abruptly, avoid alcohol, cns depressants. IM onset 15-30min peak 60-90min.
Ondansetron HCL: antiemetic, 4mg Q6hrs PRN IV. Patient is on this in order to prevent nausea from receiving chemopherapy/radiation. Side effects: headache, dizziness, constipation. Nursing considerations: monitor for toxicity/ serotonin syndrome.
Morphene sulfate (Astramorph PF, Avinza, Duramorph, Infumorph, Kadian, MS Contin): patient is on this medication for pain. 2 mg Q4hrs PRN IV. Side effects: respiratory depression,, bradycardia, urticaria, sedation, orthostatic hypotension. Nursing considerations: monitor respiratory rate for respiratory depression.
Amiodarone (Cordarone, Pacerone): Antiarrhythmic. IV patient is receiving due to A.fib to bring down the heart rate. Side effects: bradycardia, hypotension, neurological dysfunction, cardiac arrest, nausea and vomiting. Nursing considerations: IV continuous cardiac monitor, access for pulmonary toxicity for rales/cracles, decreased breath sounds, dyspnea, fever. Check for neurotoxicity, assess radial pulse, may increase

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