a nurse is assisting a patient with chronic adrenal insufficiency to plan for medication consistency while on a family vacation trip. he is taking hydrocortisone (cortef) and fludrocortisone (florinef) as replacement therapy. what essential detail does the patient need to remember to do?
Answer - Monitor patient vital sign regularly.
- Also monitor for electrolytes, blood glucose level,hypokelemia or hyperglycemia.
-Monitor for intake output, weight.
- Assess for hypertension and also assess for medical history of diabetes, glucoma, cataract, peptic ulcer and any mental health disorder.
- If our patients is old than assess for osteoporosis.
- Teach the patient that medication intake best time is early morning always.
- Eat high pottasium diet.
- Warn the patient that not stop medication abruptly it cause more stress or results severe adrenal insufficiency.
- Always monitor for side effects, complication of this medications such as vomiting, diarrhea, fever.
- Also consult for low blood pressure, cramping, palpitations, changes in mental status.
- Always wear medical alert bracelets and regular follw up physicians.
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