DRUG STUDY

Date Generic Brand Classification Indication Mechanism of Dosage Adverse Nursing

Name Name Action and Reaction Considerations
Frequency
Hydro- Cortef, Adrenal Replacement Enters target cells 250 mg CNS: Vertigo, Before
cortisone Solucortef, cortical therapy in and binds to IVTT now headache, -Assess for contra-
Hydrocortone steroid adrenal cytoplasmic then q8 paresthesias, Indications
, Corticosteroid cortical receptor, initiates hours insomnia, -Assess body
Cortenema Glucocorticoid insufficiency many complex seizures, weight, skin color,
reactions that are psychosis V/S, urinalysis,
ALLERGIC responsible for its Serum electrolytes,
STATTES anti-inflammatory, CV: X-rays,CBC
immunosuppressive Hypotension, -Do not give
Severe or (glucocorticoid), Shock, HPN vaccines with
incapacitating and salt retaining and heart immunosuppressive
allergic (mineralcorticoid) failure doses of
conditions actions. Some secondary to hydrocortisone.
actions may be fluid -Observe the 15
Hematologic undesirable, retention, rights of drug
disorders depending on drug thromboemb administration.
use. olism,
Ulcerative Cardiac During:
colitis arrhythmias -Give daily before
9am to mimic
DERMATOLO normal peak diurnal
GIC: corticosteroid
Thin, fragile levels.
skin, -Space multiple
petechiae, doses evenly
ecchymoses, throughout the day.
purpura, -Use minimal doses
striae, evenly throughout
subcutaneous the day.
fat atrophy -Use minimal doses
 for minimal
EENT: duration to
Cataracts, minimize adverse
glaucoma, effects.
Increased IOP -Do not give IM
injections if patient
Endocrine: has
Amenorrhea, thrombocytopenic
irregular purpura.
mens, growth -Taper doses when
retardation, discontinuing high-
decreased dose or long-term
carbohydrate therapy
tolerance and
DM, After:
Hyperglycemi -Monitor client for
a at least 30 minutes.
-Educate client on
GI: Peptic or the side effects of
esophageal the medication and
ulcer, what to expect.
pancreatitis, -Instruct client to
abdominal report pain at the
distention, injection site.
nausea, -Instruct client to
vomiting, take drug as
increased prescribed.
appetite, and -Dispose of used
weight gain materials properly.
-Document that
Hematologic: drug has been
Na and fluid given.
retention,
hypocalcemia,
increased
blood sugar

Hypersensitiv
ity:
Hypersensitivi
ty reactions

Musculoskele
tal:
Muscle
weakness,
steroid
myopathy