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Written Assignments, chapter 36, Adrenocrtical Agents: Describe the diurnal rhythm of the release of corticosteroids. Why...

Written Assignments, chapter 36, Adrenocrtical Agents:

  1. Describe the diurnal rhythm of the release of corticosteroids.
  2. Why most corticosteroids must be tapered when discontinued after a long -term used?
  3. you are caring for a 7- year old child who has been prescribed a beclomethasone(Beclovent) inhaler for San exacerbation of asthma. What essential nursing considerations are required for this child? Why are these essential?
  4. You are caring for a 41- year old adult who has been prescribed Decadron for severe allergic reactions. What essential nursing considerations are required for this adult? Why are these essential?
  5. You are caring for a 72- year old adult who has been prescribed prednisone for an exacerbation of COPD. What essential nursing considerations are required for this older adult? Why are these essential?

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Answer #1

1- in morning time cortisol are releasing more compair to evening time

Beacuse overnight fasting in morning glucose levels are decrease in body so cortisol release and maintain glucose level

2- long term use without tapering produce side effects

After long term use patient dependent on steroids, normal glandular secretion of steroids are reduse and absent if use without tapering

3- dose control monitoring and side effects monitoring

Side effect- eye pain ,dry mouth,runny nose, throat infection etc

4- monitoring for side effect like headache dizziness nausea vomating

5- monitoring for side effect like - mood change, physciatric problem, insomnia

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