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Dexamethasone Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
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Dexamethasone
Generic Name: dexamethasone
Trade Name: Decadron
Indication: manage cerebral edema, assess for Cushing's Disease Action Suppress inflammation and normal immune response. Used in inflammatory states to decrease inflammation.
Therapeutic Class: antiasthmatics, corticosteroids
Pharmacologic Class: corticosteroids
Nursing Considerations
excreted by the liver - monitor liver profile
avoid in active untreated infections
may cause CNS alterations
may cause peptic ulcers
may cause Cushingoid appearance (buffalo hump, moon face)
weight gain
osteoporosis
decrease wound healing
may elevate blood sugars
may increase cholesterol and lipid values
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