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A child is prescribed an inhaled corticosteroid agent to decrease respiratory inflammation related to exposure to...

A child is prescribed an inhaled corticosteroid agent to decrease respiratory inflammation related to exposure to an animal. The patient’s parent administers a higher than prescribed a dose of the medication for 5 days. What should the Advanced Nurse Practitioner monitor the child for?

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Answer #1

A child administered a higher dose of an inhaled corticosteroid agent for 5 days. It can lead to adrenal insufficiency in children.

Due to the inactive adrenal gland, there is decreases cortisol production which causes the Addisonian crisis, it is a life-threatening condition which require immediate management.

In this case, the Advanced Nurse Practitioner monitor should monitor the below symptoms for early detection.

- Decreased appetite

- Hypotension

- Fainting

- Low blood sugar

- abdominal pain

- musculoskeletal pain

- salt craving

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