decreases inflammatory and immune response by decreasing WBC count
- Nursing implications: observe for cushingoid changes, buffalo hump, moon face, striae, acne, thin skin, bruising, fluid retention, and increased blood pressure.
- Monitor electrolyte and glucose levels. Monitor weight.
these changes are expected and tend to be dose related changes diminish as dose decreases
chronic steroid therapy can cause sodium or fluid retention, potassium depletion, and elevated glucose level
- Nursing implications cont: observe for long-term effects of chronic steroid therapy, such as osteoporosis, attaracts, hypertension diabetes, and impaited healing
- Rationale: these complications may need to be treated with other drugs or modalities
Teach patient to increase dietaty calcium and vitamin D and take supplement
instruct patient to avoid crowds and persons with infections such as influenza
drug suppress immune system (lymphocytes) and increases risk of infection or decreased healing