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  • Vii. Drug Study Drug Indication Action Side/Adverse Effects Nursing Consideration Date Ordered: Generic Name: Specific

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    Dexamethasone is an anti-inflammatory glucocorticoid that was ordered for a patient with bacterial meningitis. It works to decrease inflammation by stabilizing leukocyte membranes and suppressing the immune response. Potential side effects include increased blood sugar, mood changes, high blood pressure, and delayed wound healing. Nurses should check for drug allergies, give the medication in the morning with food when possible, and rotate intramuscular injection sites to prevent muscle atrophy.

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    Dexamethasone

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    Dexamethasone is an anti-inflammatory glucocorticoid that was ordered for a patient with bacterial meningitis. It works to decrease inflammation by stabilizing leukocyte membranes and suppressing the immune response. Potential side effects include increased blood sugar, mood changes, high blood pressure, and delayed wound healing. Nurses should check for drug allergies, give the medication in the morning with food when possible, and rotate intramuscular injection sites to prevent muscle atrophy.

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    Vii. Drug Study Drug Indication Action Side/Adverse Effects Nursing Consideration Date Ordered: Generic Name: Specific

    Uploaded by

    nura
    Dexamethasone is an anti-inflammatory glucocorticoid that was ordered for a patient with bacterial meningitis. It works to decrease inflammation by stabilizing leukocyte membranes and suppressing the immune response. Potential side effects include increased blood sugar, mood changes, high blood pressure, and delayed wound healing. Nurses should check for drug allergies, give the medication in the morning with food when possible, and rotate intramuscular injection sites to prevent muscle atrophy.

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    VII.

    DRUG STUDY
    DRUG
    Date ordered:
    August 04, 2010
    Generic name:
    Dexamethasone
    Brand name:
    -Classification:
    Anti inflammatory
    Glucocorticoid
    Dosage:
    1.8 mg IV q6

    INDICATION

    ACTION

    Specific
    The patient was given
    Adjunctive treatment dexamtehasone 1.8 mg
    in bacterial meningitis. through IV every 6
    hours to decreases
    General
    inflammation, mainly by
    Cerebral edema
    stabilizing leukocyte
    Allergic and
    lysosomal membranes;
    inflammatory
    suppresses immune
    conditions
    response; stimulates
    Shock
    bone marrow; and
    Tuberculosis
    influences protein, fat
    meningitis
    and carbohydrate
    metabolism.

    SIDE/ADVERSE EFFECTS
    CNS: euphoria, insomnia,
    psychotic behavior,
    pseudotumor cerebri,
    vertigo, headache,
    paresthesia, seizures,
    depression.
    CV: hypertension, edema,
    arrythmias,
    thromboembolism.
    EENT: cataracts, glaucoma.
    GI: peptic ulceration, GI
    irritation, increased
    appetite, pancreatitis,
    nausea, vomiting.
    GU: increase urine glucose,
    and calcium levels
    Metabolic: hypokalemia,
    hyperglycemia
    Musculoskeletal: muscle
    weakness
    Skin: Delayed wound
    healing
    Other: Susceptibility to
    infections.

    NURSING
    CONSIDERATION
    1. Determine whether
    patient is sensitive to
    other corticosteroids
    2. Most adverse
    reactions to
    corticosteroids are
    dose-or durationdependent.
    3. For better results and
    less toxicity, give
    once daily dose in
    morning.
    4. Give oral dose with
    food when possible.
    Patient may need
    drugs to prevent GI
    irritation.
    5. Give I.M injection
    deeply into gluteal
    muscle. Rotate
    injection sites to
    prevent muscle
    atrophy. Avoid
    subcutaneous
    injection because
    atrophy and sterile
    abscesses may occur.

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