Drug Classifications Mechanism Indications Contra-indications Adverse effects Nursing responsibilities

of Action
Generic Hydro- It decreases It is used to  heart  blurred Assessment
name: cortisone is in your immune treat conditions disease, vision, tunnel
a class of system's such as  high blood vision, eye  History: Infections;
Hydro- Drug called response to arthritis, pressure; pain, or kidney disease; liver
cortisone steroids. various blood/hormone/  tuberculosis seeing halos disease, hypothyroidism;
Hydro- diseases to immune system ; around ulcerative colitis with
cortisone reduce disorders, skin  kidney lights; impending perforation;
Prevents the symptoms and eye disease;  muscle diverticulitis; recent GI
Dosage: release of such as pain, conditions,  cirrhosis or weakness, surgery; active or latent
substances in swelling and breathing other liver loss of peptic ulcer;
IV, IM or the body that allergic-type problems, disease; muscle inflammatory bowel
subcutane cause reactions.. cancer, and  a thyroid mass; disease; hypertension,
ous inflammation. severe disorder;  new or CHF; thromboembolitic
(hydrocorti Hydro allergies.  low bone unusual pain tendencies,
sone and cortisone is mineral in your thrombophlebitis,
hydrocortis used to treat Hydrocortisone density joints, osteoporosis, seizure
one many different affects your (osteo- bones, or disorders, metastatic
sodium conditions immune system porosis); muscles; carcinoma, diabetes
phosphate) such as and is often  stomach  severe mellitus; lactation.
allergic used to treat ulcers, headaches, Retention enemas,
20–240 disorders, skin certain blood ulcerative ringing in intrarectal foam:
mg/day conditions, cell disorders colitis, your ears, Systemic fungal
usually in ulcerative such as anemia diverticulitis; pain behind infections; recent
divided colitis, (low red blood  diabetes; your eyes; intestinal surgery,
doses q 12 arthritis, lupus, cells)  a colostomy  unusual extensive fistulas.
hr. psoriasis, or or thrombocyto or changes in Topical dermatologic
IM, IV breathing penia (low ileostomy; mood or administration: Fungal,
(hydro- disorders. platelets).  depression behavior; tubercular, herpes
cortisone or mental  a seizure; simplex skin infections;
illness; vaccinia, varicella; ear
sodium  glaucoma  fluid application when
succinate) or cataracts; retention-- eardrum is perforated
 herpes shortness of
Reduce infection of breath (even  Physical: Systemic
dose, the eyes; or while lying administration: Weight,
based on  a muscle down), T; reflexes, affect,
condition disorder swelling, bilateral grip strength,
and such rapid weight ophthalmologic
response, as myasthe gain examination; BP, P,
but give no nia gravis. (especially in auscultation, peripheral
less than your face perfusion, discoloration,
25 mg/day. and pain or prominence of
Retention midsection); superficial vessels; R,
enema  new signs of adventitious sounds,
(hydrocorti infection-- chest x-ray; upper GI x-
sone): 100 such as ray (history or symptoms
mg nightly fever, chills, of peptic ulcer), liver
for 21 cough, palpation; CBC, serum
days. trouble electrolytes, 2-hr
Intra-rectal breathing, postprandial blood
foam sores in your glucose, urinalysis,
(hydrocorti mouth or on thyroid function tests,
sone your serum cholesterol.
acetate) skin, diarrhe Topical, dermatologic
1 a, or burning preparations: Affected
applicator when you area, integrity of skin
daily or bid urinate; Interventions
for 2 wk  increased
and every adrenal Systemic administration
second gland hormo  WARNING: Give daily
day nes--slow before 9 AM to mimic
thereafter. wound normal peak diurnal
healing, skin corticosteroid levels and
Intra- discoloration minimize HPA
articular, , thinning suppression.
intra- skin,  Space multiple doses
lesioned increased evenly throughout the
(hydrocorti body hair, day.
sone tiredness,  Do not give IM injections
acetate) menstrual if patient has
5–25 mg, changes, thrombocytopenic
depending sexual purpura.
on joint or changes; or  Rotate sites of IM
soft-tissue  decreased repository injections to
injection adrenal avoid local atrophy.
site. gland hormo  Use minimal doses for
nes-- minimal duration to
weakness, minimize adverse
tiredness, effects.
diarrhea, na  Taper doses when
usea, discontinuing high-dose
menstrual or long-term therapy.
changes,  Arrange for increased
skin dosage when patient is
discoloration subject to unusual
, craving stress.
salty foods,  Ensure that adequate
and feeling amount of Ca2+ is taken
light-headed. if prolonged
administration of
steroids.
 Use alternate-day
maintenance therapy
with short-acting
corticosteroids whenever
possible.
 WARNING: Do not give
live virus vaccines with
immunosuppressive
doses of hydrocortisone.
 Provide antacids
between meals to help
avoid peptic ulcer.