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Drug Study 1

This document summarizes the drug hydrocortisone (brand name: Hydrocortone), a corticosteroid medication. It is indicated for replacement therapy in adrenal cortical insufficiency, allergic states, hematologic disorders, and ulcerative colitis. Contraindications include allergies, infections, and immunosuppression. Common side effects involve the central nervous system, cardiovascular system, skin, eyes, endocrine system, gastrointestinal tract, and muscles. Nursing responsibilities before, during, and after administration include assessing for contraindications, monitoring the patient, educating on side effects, and properly documenting the drug administration.

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Arianne Nicole Pinuela
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41 views9 pages

Drug Study 1

This document summarizes the drug hydrocortisone (brand name: Hydrocortone), a corticosteroid medication. It is indicated for replacement therapy in adrenal cortical insufficiency, allergic states, hematologic disorders, and ulcerative colitis. Contraindications include allergies, infections, and immunosuppression. Common side effects involve the central nervous system, cardiovascular system, skin, eyes, endocrine system, gastrointestinal tract, and muscles. Nursing responsibilities before, during, and after administration include assessing for contraindications, monitoring the patient, educating on side effects, and properly documenting the drug administration.

Uploaded by

Arianne Nicole Pinuela
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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PHINMA UNIVERSITY OF ILOILO

COLLEGE OF ALLIED HEALTH SCIENCES


Nursing Department

DRUG STUDY
Drug Name Classification/ Indications Contraindications Side effects/ Adverse Nursing responsibilities
Mechanism of Action Effects
Generic Name: Enters target cells and
hydrocortisone binds to cytoplasmic
receptor; initiates many
complex reactions that
are responsible for its
Brand Name:
anti-inflammatory,
Hydrocortone immunosuppressive
cortenema (glucocorticoid),
and salt-retaining
(mineralocorticoid)
Route: actions. Some actions
IVTT may be undesirable,
depending on drug use.

Dosage:100 mg

Frequency:
Q6H

Pharmacologic Class
Adrenal cortical steroid
Corticosteroid
Glucocorticoid
Therapeutic Class
Hormone
Pregnancy category
C

-Replacement therapy
in adrenal cortical
insufficiency
- Allergic states
severe or incapacitating
allergic conditions
- Hematologic disorders
- Ulcerative colitis

Concentrations
- Allergy to any component
of the drug
- Fungal infections
- Amebiasis
- Hepatitis B
- Vaccinia or varicella
- Antibiotic-resistant infections
- Immunosuppression
Precaution
- Kidney disease
- Liver disease
- Cirrhosis
- Hypothyroidism
- Ulcerative colitis with
impending perforation
- Diverticulitis
- Recent GI surgery
- Active or latent peptic ulcer
- Inflammatory bowel disease
- Hypertension
- Heart failure
- Thromboembolic tendencies
- Osteoporosis
- Convulsive disorders
- Metastatic carcinoma
- Diabetes mellitus
- TB
- Lactation

CNS: Vertigo, headache,


paresthesias, insomnia,
seizures, psychosis
CV: Hypotension, shock,
HPN and heart failure
secondary to fluid
retention,
thromboembolism,
thrombophlebitis,
fat embolism, cardiac
arrhythmias
Dermatologic: Thin,
Fragile,skin, petechiae,
ecchymoses, purpura,
striae, subcutaneous
fat atrophy
EENT: Cataracts, glaucoma,
increased IOP
Endocrine: Amenorrhea,
irregular mens,
growth retardation,
decreased carbohydrate
tolerance and DM, cushingoid
state, HPA suppression systemic , hyperglycemia
GI: Peptic or esophageal ulcer,
pancreatitis, abdominal
distention, nausea, vomiting
, increased appetite and weight gain
Hematologic: Na and fluid retention, hypocalcemia, increased blood sugar, increased serum cholesterol, decreased T3 and T4 levels
Hypersensitivity: Anaphylactoid or hypersensitivity reactions
Musculoskeletal: Muscle weakness, steroid myopathy and loss of muscle mass, osteoporosis, spontaneous fractures
Other: Immunosuppression, aggravation or masking of infections, impaired wound healing

Before
- Assess for contraindications.
- Assess body weight,
skin color, V/S,
urinalysis, serum electrolytes,
X-rays, CBC.
- Arrange for increased dosage
when patient is subject to
unusual stress.
- Do not give live vaccines with
immunosuppressive doses
of hydrocortisone.
- Observe the 15 rights of drug
administration.
During
- Give daily before 9am
to mimic normal peak diurnal corticosteroid levels.
- Space multiple doses evenly
throughout the day.
- Use minimal doses for minima
l duration to minimize adverse effects.
- Do not give IM injections if patient has
thrombocytopenic purpura.
- Taper doses when discontinuing
high-dose or long-term therapy.

After
- Monitor client for at least 30 minutes.
- Educate client on the side effects of the medication and what to expect.
- Instruct client to report pain at injection site.
- Instruct client to take drug exactly as prescribed.
- Dispose of used materials properly.
- Document that drug has been given.

PREPARED BY: ___________________________________________

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