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Strayer,Devery,Harvard University
Mar-1995 - Mar-2002
Manager Planning
WalMart
Mar-2001 - Feb-2009
Assignments, Chapter 36, Adrenocortical Agents
Written Assignments
1. Describe the diurnal rhythm of the release of
corticosteroids.
2. Why must corticosteroids be tapered when discontinued
after long-term use?
3. You are caring for a 7-year-old child who has been Learning Objective(s)
1
2
3, 5 prescribed a beclomethasone (Beclovent) inhaler for an
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 3, 5 prescribed Decadron for a severe allergic reaction. 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 3, 5 prescribed prednisone for an exacerbation of COPD. What
essential nursing considerations are required for this older
adult? Why are these essential?
Group Assignment(s)
1. Corticosteroids have many adverse reactions. Prepare a list Learning Objective(s)
2 of adverse reactions. For each adverse reaction, determine
nursing assessments or nursing measures essential to
monitoring the adverse reaction or to treating the adverse
reaction. What is the rationale for each assessment or nursing
measure?
2. Develop a teaching plan for an adult patient prescribed 5 prednisone for an exacerbation of rheumatoid arthritis. What
are the most essential teaching points to stress to patients
taking prednisone?
Clinical Assignments
1. Select a patient taking an adrenocortical agent. What Learning Objective(s)
2 classification does the drug belong to? Why is the patient
taking this drug? Describe the therapeutic actions, indications,
pharmacokinetics, contraindications, the most common
adverse reactions, and the important drug–drug interactions
for the drug.
2. Select a patient taking an adrenocortical agent. Compare 4 and contrast this drug to the prototype drugs prednisone and
fludrocortisone. Discuss similarities and differences among
the drugs.
Web Assignments
1. Conduct Internet research to determine how frequently Learning Objective(s)
5 adrenocortical agents are used. What is the most commonly
prescribed adrenocortical agent? What are the nursing
considerations associated with the use of this drug? How can
you utilize this research in your nursing practice?
2. Explain the control of the synthesis and secretion, and
physiological effects of the adrenocortical agents. Use the
Internet to research support for your answer. 1
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