Generic Name Classification Dosage and Route Pharmacologic Effects/ Indication and Side Effects Nursing Responsibilit

(Brand Name) of Administration Mechanism of Action Contraindication

Dexamethason Therapeutic Dosage: Decreases Indicated to CNS: 1. Observe 14 rights of giving med

e Class: 0.5 mg, 0.7 mg, inflammation, mainly patient with 2. Check the doctor’s order.
Corticosteroids 1 mg, 1.5 mg, 2 by stabilizing leukocyte adrenocortical Euphoria,
3. Determine whether the patient i
(Dexamethaso mg, 4 mg, 6 mg lysosomal membranes; insufficiency insomnia,
corticosteroids
ne Intensol) Pharmacologic surpresses immune psychotic

Class: Route: behavior, vertigo, 4. Monitor patient’s weight, blood

response; stimulates
electrolyte levels.
Glucocorticoids PO Contraindicated mood swings,
bone marrow; and
in patients with headache, 5. Instruct patient to take oral med
influences protein, fat,
hypersensitivity to food to minimize GI distress.
and carbohydrate paresthesia,
drug or its seizures,
metabolism. 6. Gradually reduce dosage after lo
ingredients. depression therapy.

7. Monitor patient response to dru

EENT:
Cataracts,

glaucoma

CV:

Hypertension,

edema,

arrythmias,

thrombophlebitis,

thromboembolism

Metabolic:

Hypokalemia,
hyperglycemia,

carbohydrate

intolerance,

hypercholesterole

mia,

carbohydrate

intolerance,

hypocalcemia

Musculoskelatal:

Muscle weakness,

osteoporosis,

tendon rupture,
myopathy

Skin:

Hirsutism,

delayed wound

healing, acne,

skin eruptions,

injection-site

atrophy

GI:

Peptic ulceration,

GI irritation,

increased

appetite,

pancreatitis,
nausea, vomiting

GU:

Increase urine

glucose and

calcium levels