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chapter 12 Rx
med studying
| Question | Answer |
|---|---|
| 2 types of corticosteriods | Glucocorticoids Mineralocorticoids |
| Produce various metabolic effects,suppress inflammation, alter normal immune responce, and promote Na+ and H2O retention and K excretion | Glucocorticoids |
| enhance reabsorption of Na+ and Chloride and promote excretion of K and hydrogen (to help maintain fluid and electrolyte balance | Mineralocorticoids |
| Metabolized in liver Excreted in urine | Corticosteriods |
| When do you use corticosteriods | -replacement therapy for adrenocortical insufficiency -Neoplastic diseases -Septic shock -Autoimmune disease -Cerebral edema -Inflammation of the joints, GI tract, respiratory tract or skin |
| When NOT to use corticosteriods | Serious infection |
| Key nursing actions when administering corticosteriods | -Administer daily doses in the morning -Assess patient for symptomatic improvement and adverse effects |
| Key nursing actions when administering corticosteriods | -Administer additional doses during periods of stress or infection as ordered -Monitor regularly for weight changes and fluid and electrolyte imbalances - INstruct the patient to consult with practioner before recieving vaccinations |