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Author Question: Which of the following adverse effects may occur in a surgical patient receiving dexamethasone ... (Read 77 times)

xroflmao

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Which of the following adverse effects may occur in a surgical patient receiving dexamethasone (Decadron) on an ongoing basis?
 
  a. Hyponatremia and hyperkalemia
  b. Hypotension and weight loss
  c. Increased muscle mass and somnolence
  d. Impaired wound healing and infection

Question 2

A diabetic patient is receiving methylprednisolone (Solu-Medrol). What medication changes can the health care provider anticipate that this patient may require?
 
  a. An increased dose of the corticosteroid
  b. A decreased dose of the corticosteroid
  c. An increased dose of the antidiabetic drug
  d. A decreased dose of the antidiabetic drug



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cpetit11

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Answer to Question 1

ANS: D
Glucocorticoids act to interrupt inflammatory and immune responses.

Answer to Question 2

ANS: C
High doses of glucocorticoids increase serum glucose levels. Therefore insulin and oral hypogly-cemic drugs used for diabetes mellitus may appear ineffective. Increased dosages of the antidia-betic drugs may be required.





 

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