Prednisone Flashcards

Study Notes

Prednisone Overview

Generic and trade names include Cordrol, Deltasone, Pred-Pak, among others.
Classified as an intermediate-acting corticosteroid.

Classification

Therapeutic: Anti-asthmatics, corticosteroids.
Pharmacologic: Systemic corticosteroids.

Therapeutic Actions

Suppresses inflammation and normal immune response.
Utilized as replacement therapy for adrenal insufficiency.
Improvement of symptoms in Crohn's disease.

Side Effects

Common with high doses or long-term use, which includes:
- CNS: Mood changes, headaches, and psychoses.
- EENT: Cataracts and increased intraocular pressure.
- Cardiovascular: Hypertension.
- Gastrointestinal: Peptic ulcers, nausea, and vomiting.
- Dermatological: Acne, bruising, reduced wound healing.
- Endocrine: Adrenal suppression and hyperglycemia.
- Metabolic: Weight gain and possible fluid retention.
- Other effects include osteoporosis, muscle wasting, increased infection susceptibility.

Nursing Implications: Assessments

Monitor involved systems before and periodically during therapy.
Check for signs of adrenal insufficiency and monitor for peripheral edema.
Observe growth in children and assess for changes in consciousness.
Monitor serum electrolytes and glucose levels regularly.
Report any presence of guaiac-positive stools immediately.

Nursing Implications: Implementation

Avoid confusion with methylprednisolone; administer in the morning if prescribed daily.
Monitor patients under stress for the need for supplemental corticosteroids.
Administer with meals to minimize GI irritation and avoid grapefruit juice.
Tablets can be crushed; capsules should be swallowed whole.
Ensure accurate dosing with calibrated devices for liquid forms.

Patient and Family Teaching

Educate on the importance of taking medication as directed and not doubling doses.
Advise on immunosuppression effects and avoiding contagious illnesses.
Emphasize the need for caution with vaccinations.
Review side effects and the importance of reporting significant symptoms like severe abdominal pain or visual disturbances.
Encourage dietary adjustments, including a high-protein, low-sodium diet, and avoiding alcohol.

Ongoing Monitoring

Highlight the necessity for continuous medical follow-up to assess medication effectiveness and side effects.
Periodic lab tests and possible eye exams may be required.

Description

Test your knowledge on Prednisone with these flashcards. This quiz covers drug classification, therapeutic actions, and various trade names of Prednisone. Perfect for students or healthcare professionals wanting to reinforce their understanding of this corticosteroid.