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Questions and Answers
What is the classification of methylPREDNISolone?
Which conditions are indicated for treatment with methylPREDNISolone? (Select all that apply)
What are some common side effects of methylPREDNISolone?
CNS: depression, euphoria; CV: hypertension; GI: peptic ulceration, anorexia, nausea; hematologic: thromboembolism, cushingoid appearance.
What routes of administration are available for methylPREDNISolone?
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What are some nursing implications when administering methylPREDNISolone?
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Stopping methylPREDNISolone suddenly can result in adrenal insufficiency.
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Patients on long-term therapy with methylPREDNISolone should eat a diet high in ________.
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Study Notes
Classification
- MethylPREDNISolone is a steroidal anti-inflammatory agent and an immunosuppressant.
- Falls under the pharmacologic category of corticosteroids.
Indications
- Used for various conditions including inflammatory disorders, allergic reactions, hematologic issues, neoplastic diseases, autoimmune disorders, and as an immunosuppressant.
Side Effects
- CNS effects may include depression and euphoria.
- Cardiovascular complications can lead to hypertension.
- Gastrointestinal issues include peptic ulceration, anorexia, nausea, and adrenal suppression.
- Hematologic effects may involve thromboembolism and a cushingoid appearance (e.g., moon face, buffalo hump).
Route
- Administered via oral (PO), intramuscular (IM), or intravenous (IV) routes.
- Oral administration should be with meals to reduce GI irritation; avoid grapefruit juice.
Nursing Implications
- Monitor patient’s intake and output, along with daily weights.
- Observe for signs of peripheral edema, steady weight gain, rales/crackles, or dyspnea; report these to healthcare professionals.
- Be aware of possible hyperglycemia and hypokalemia; perform guaiac tests on stools and report any positive results.
Teaching
- Sudden cessation of treatment can lead to adrenal insufficiency, with symptoms like anorexia, nausea, weakness, fatigue, dyspnea, hypotension, and hypoglycemia, which can be life-threatening.
- Patients should report severe abdominal pain, tarry stools, unusual swelling, weight gain, tiredness, bone pain, bruising, nonhealing sores, visual disturbances, or behavioral changes.
- Long-term therapy advice includes a diet rich in protein, calcium, and potassium while being low in sodium and carbohydrates.
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Description
Test your knowledge of methylPREDNISolone and its uses with these flashcards. This quiz covers classification, indications, and side effects of Solu-MEDROL. Perfect for students or healthcare professionals looking to refresh their understanding of this steroid medication.
