drug study

1. DRUG NAME MECHANISM OF
ACTION
INDICATION CONTRAINDICATION SIDE EFFECTS/
ADVERSE EFFECTS
NURSING
CONSIDERATION
Generic name:
hydrocortisone
Brand name:
Cortef
Enter the target cells and
bind to cytoplasmic
receptors, initiating many
complex reactions that are
responsible for anti-
inflammatory and
immunosuppressive effects
Replacement
therapy,
treatment of
allergic and
inflammatory
disorders
Presence of any known
allergy to any steroid
preparation to avoid
hypersensitivity
reactions; in the
presence of an acute
infection; and with
lactation
Caution should be used
in patients with diabetes;
acute peptic ulcers; and
with other endocrine
disorders
Vertigo, headache,
paresthesias, insomnia,
convulsions, psychosis,
pancreatitis, nausea,
vomiting, weight gain,
hypotension, shock, heart
failure secondary to fluid
retention,
thrombophlebitis,
hypokalemia,
hypocalcemia, increased
blood sugar, muscle
weakness, steroid
myopathy, loss of muscle
mass, osteoporosis,
cataracts, glaucoma,
petechiae, ecchymoses,
purpura, amenorrhea,
immunosuppression,
aggravation or masking
of infections, impaired
wound healing
Baseline assessment
Assess history of allergy to
any steroid preparations,
acute infections, peptic ulcer
disease, pregnancy,
lactation, endocrine
disturbances and renal
dysfunction
Assess weight, temperature,
orientation and affect; grip
strength, eye examination;
blood pressure, pulse,
peripheral perfusion and
vessel evaluation;
respiration and adventitious
breath sounds; glucose
tolerance, renal function,
serum electrolyte and
endocrine function tests
Intervention/evaluation
Monitor patient response to
the drug
Monitor for adverse effects
Evaluate effectiveness of the
teaching plan