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 -Replacement therapy Concentrations CNS:Vertigo, - Assess for contraindications.
hydrocortisone binds to cytoplasmic in adrenal cortical -Allergy tany component headache, - Assess body weight,
receptor; initiates many insufficiency of the drug paresthesias, skin color, V/S,
complex reactions that - Allergic states - Fungal infections insomnia, urinalysis, serum electrolytes,
are responsible for its severe or incapacitating - Amebiasis seizures, psychosis X-rays, CBC.
Brand Name:
anti-inflammatory, allergic conditions - Hepatitis B CV:Hypotension, - Arrange for increased dosage
Hydrocortone immunosuppressive - Hematologic disorders - Vaccinia or varicella shock, when patient is subject to
cortenema (glucocorticoid), - Ulcerative colitis -Antibiotic-resistant HPN and heart failure unusual stress.
and salt-retaining infections secondary to fluid - Do not give live vaccines with
(mineralocorticoid) - Immunosuppression retention, immunosuppressive doses
Route: actions. Some actions Precaution thromboembolism, of hydrocortisone.
IVTT may be undesirable, - Kidney disease thrombophlebitis, - Observe the 15 rights of drug
depending on drug use. - Liver disease fat embolism, cardiac administration.
Dosage: - Cirrhosis arrhythmias During
100 mg - Hypothyroidism Dermatologic: Thin, - Give daily before 9am
- Ulcerative colitis with Fragile,skin, to mimic normal peak diurnal
impending perforation petechiae, corticosteroid levels.
- Diverticulitis ecchymoses, purpura, - Space multiple doses evenly
Frequency: - Recent GI surgery striae, subcutaneous throughout the day.
Q6H - Active or latent peptic fat atrophy - Use minimal doses for minima
ulcer EENT:Cataracts, l duration to minimize adverse
- Inflammatory bowel glaucoma, effects.
disease increased IOP - Do not give IM injections if
- Hypertension Endocrine: patient has
- Heart failure Amenorrhea, thrombocytopenic purpura.
-Thromboembolic irregular mens, - Taper doses when
tendencies growth retardation, discontinuing
- Osteoporosis decreased high-dose or long-term therapy.
- Convulsive disorders carbohydrate
- Metastatic carcinoma toleranceandDM, After
- Diabetes mellitus cushingoid - Monitor client for at least 30
- TB state,HPA suppression minutes.
systemic , - Educate client on the side
hyperglycemia 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: ___________________________________________