Hydrocortisone sodium succinate, brand name SoluCortef, is a corticosteroid used to decrease inflammation and suppress the immune system. It works by preventing immune cells from traveling to inflamed areas of the body. It is indicated to treat conditions like adrenal insufficiency, allergies, cancer, arthritis, skin diseases, and more. Side effects include fluid retention, electrolyte imbalances, weakness, digestive issues, and bruising. Nurses should monitor for side effects and drug interactions, and advise patients on managing gastrointestinal symptoms.
Hydrocortisone sodium succinate, brand name SoluCortef, is a corticosteroid used to decrease inflammation and suppress the immune system. It works by preventing immune cells from traveling to inflamed areas of the body. It is indicated to treat conditions like adrenal insufficiency, allergies, cancer, arthritis, skin diseases, and more. Side effects include fluid retention, electrolyte imbalances, weakness, digestive issues, and bruising. Nurses should monitor for side effects and drug interactions, and advise patients on managing gastrointestinal symptoms.
Hydrocortisone sodium succinate, brand name SoluCortef, is a corticosteroid used to decrease inflammation and suppress the immune system. It works by preventing immune cells from traveling to inflamed areas of the body. It is indicated to treat conditions like adrenal insufficiency, allergies, cancer, arthritis, skin diseases, and more. Side effects include fluid retention, electrolyte imbalances, weakness, digestive issues, and bruising. Nurses should monitor for side effects and drug interactions, and advise patients on managing gastrointestinal symptoms.
Hydrocortisone sodium succinate, brand name SoluCortef, is a corticosteroid used to decrease inflammation and suppress the immune system. It works by preventing immune cells from traveling to inflamed areas of the body. It is indicated to treat conditions like adrenal insufficiency, allergies, cancer, arthritis, skin diseases, and more. Side effects include fluid retention, electrolyte imbalances, weakness, digestive issues, and bruising. Nurses should monitor for side effects and drug interactions, and advise patients on managing gastrointestinal symptoms.
Classification: Anti-inflammatory glucocorticoid Mode of Action: Hydrocortisone is a corticosteroid used for its anti-inflammatory and immunosuppressive effects. It works is to decrease inflammation (swelling). It does this by preventing infection- fighting white blood cells (polymorphonuclear leukocytes) from traveling to the area of swelling in your body. Indications: Replacement therapy in adrenal cortical insufficiency
Allergic states—severe or incapacitating allergic conditions
Hypercalcemia associated with cancer
Short-term inflammatory and allergic disorders, such as
rheumatoid arthritis, collagen diseases (SLE), dermatologic diseases (pemphigus), status asthmaticus, and autoimmune disorders
Hematologic disorders—thrombocytopenic purpura,
erythroblastopenia
Trichinosis with neurologic or myocardial involvement
Ulcerative colitis, acute exacerbations of MS, and palliation
in some leukemias and lymphomas
Intra-articular or soft-tissue administration: Arthritis,
psoriatic plaques
Retention enema: For ulcerative colitis, proctitis
Dermatologic preparations: To relieve inflammatory and
pruritic manifestations of dermatoses that are steroid responsive
Anorectal cream, suppositories: To relieve discomfort of
hemorrhoids and perianal itching or irritation
Contraindications: Viral/fungal infections
tubercular or syphilitic lesions
bacterial infections unless used in conjunction with
appropriate chemotherapy.
Ordered Dose: 100mg IV q8
Side Effects: Sodium and fluid retention
Potassium and calcium depletion
Weakness
GI disturbances and bleeding
Increased appetite and delayed wound healing.
Bruising, striae, hirsutism, acne, flushing
Headache
Drug interactions: Aminoglutethimide- lead to a loss of corticosteroid-induced
adrenal suppression.
Antidiabetic- Because corticosteroids may increase blood
glucose concentrations, dosage adjustments of antidiabetic agents may be required.
Antitubercular drugs- Serum concentrations of isoniazid
antibiotics such as erythromycin and troleandomycin)- Drugs that inhibit cytochrome P450 3A4 have the potential to result in increased plasma concentrations of corticosteroids.
Ketoconazole- the metabolism of certain corticosteroids by
up to 60%, leading to an increased risk of corticosteroid side effects.
Nonsteroidal anti-inflammatory drugs (NSAIDs)-
Concomitant use of aspirin (or other nonsteroidal anti- inflammatory agents) and corticosteroids increases the risk of gastrointestinal side effects.
Nursing 1. Provide antacids between meals to help avoid peptic ulcer.
Responsibilities: 2. Report any fatigue, muscle and joint pains, anorexia, nausea, vomiting, diarrhea, weight loss, weakness, dizziness, or low blood sugar (if you monitor blood sugar).
3. Take with meals or snacks if GI upset occurs
4. Maintain normal bowel function with proper diet, adequate
fluid intake, and regular exercise.
5. Use stool softeners or bulk laxatives if needed.
6. Notify your health care provider if symptoms do not
improve in 7 days or if bleeding, protrusion, or seepage occurs.