Which signs and symptoms would the nurse expect to see in a client who has taken prednisone?
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What is a Patient Information Leaflet and why is it useful?The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged. Show
Below is a text only representation of the Patient Information Leaflet. The original leaflet can be viewed using the link above. The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL17780/0309. Prednisolone 25mg Tablets
Now read the rest of this leaflet. It includes other important information on the safe and effective use of this medicine that might be especially important for you
1. What Prednisolone is and what it is used for The name of your medicine is Prednisolone 25mg Tablets (called Prednisolone throughout this leaflet). Prednisolone is a steroid medicine. Their full name is glucocorticoids.
Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking prednisolone. Talk to your doctor before you take prednisolone if:
If any of the above applies to you, talk to a doctor before taking prednisolone. Mental health problems can happen while taking steroids like prednisolone (see also section 4)
Talk to a doctor if you (or someone taking this medicine), show any signs of mental problems. This is particularly important if you are depressed, or might be thinking about suicide. In a few cases, mental problems have happened when doses are being lowered or stopped.
If any of the above apply to you, your doctor may want to see you more often during your treatment. Contact your doctor if you experience blurred vision or other visual disturbances. Prednisolone can cause enlargement of the heart in premature babies. The doctor may need to monitor babies receiving this medicine. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines obtained without a prescription, including herbal medicines. This is because prednisolone and other medicines can affect the way each other work. In particular, check with your doctor if you are taking any of the following medicines. Your doctor may want to change the dose of prednisolone, or the other medicine.
Some medicines may increase the effects of prednisolone and your doctor may wish to monitor you carefully if you are taking these medicines:
If you have just had any injections or vaccinations, tell your doctor before you take prednisolone. If you are going to have any injections or vaccinations, tell your doctor or nurse you are taking prednisolone. This includes those needed for a foreign holiday. Some vaccines should not be given to patients taking prednisolone. This is because prednisolone can affect the way some vaccines work. If you are going to have an operation, tell your doctor or nurse you are taking prednisolone. Muscle relaxants are sometimes used during an operation or in an intensive care unit. These and prednisolone can affect one another. Talk to your doctor before taking prednisolone if:
Taking Prednisolone can mean that you get infections more easily than usual, and these infections can be more serious. If you get chickenpox or shingles while taking prednisolone, you can become seriously ill.
This medicine contains lactose. If you have been told that you cannot digest or tolerate some sugars, talk to your doctor before taking this medicine. Always take this medicine exactly as your doctor has told you. The dose will depend on the illness being treated and any other medicines you are taking. Check with your doctor or pharmacist if you are not sure.
Always follow your doctor's advice about how and when to take your medicine and always read the label on the pack. If you are not sure, ask your doctor or pharmacist. Tell your doctor or go to the nearest hospital casualty department straight away. Remember to take with you any tablets that are left and the pack. This is so the doctor knows what you have taken. If you forget to take a dose take it as soon as you remember, unless it is time for your next dose. Do not take a double dose to make up for a forgotten dose.
You may also notice the following symptoms if you stop treatment with prednisolone. If this happens, tell a doctor straightaway as these could be signs of a serious illness:
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Steroids including prednisolone can cause serious mental health problems. These are common in both adults and children. They can affect about 5 in every 100 people taking medicines like prednisolone. These side effects include:
If you notice any of these problems talk to a doctor straight away. If any of these side effects gets serious or lasts longer than a few days, or if you notice any side effects not listed in the leaflet, please tell your doctor or pharmacist.
Some of the above effects are more likely to happen if you are elderly. Prednisolone can cause enlargement of the heart in premature babies. Children and teenagers taking this medicine may grow less than normal. If you think this is happening to a child, tell your doctor. If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Prednisolone 25mg tablets are white, round, bevel edged tablets with a break line on one side and plain on the other. This medicine comes in blister packs of 56 tablets. Zentiva Pharma UK Limited Sanofi This leaflet was revised in July 2021 Company contact detailsZentivaAddress 12 New Fetter Lane, LONDON, EC4A 1JP, UK Medical Information Direct Line +44 (0)800 090 2408 Customer Care direct line +44 (0)844 8793 188 Medical Information e-mail What medication should the nurse anticipate giving to a client in preterm labor to stimulate maturation of the baby's lungs?Antenatal corticosteroids (also called ACS). These include medicines such as betamethasone and dexamethasone. These speed up your baby's lung development.
What action should the charge nurse take?It is their responsibility to help maintain a safe environment for patient care, potentially including tasks such as monitoring and order medical supplies and ensuring compliance with policies, procedures and laws. Charge nurses must generally possess excellent skills in communication, organization and leadership.
How would the nurse determine the correct size oropharyngeal airway for a client?Select the proper size airway by measuring from the tip of the patient's earlobe to the tip of the patient's nose. The diameter of the airway should be the largest that will fit. To determine this, select the size that approximates the diameter of the patient's little finger.
How does the nurse identify the correct size of crutches for a client?Each crutch can be adjusted at the top and bottom. Below are some key concepts to help you tell if the crutches fit your patient properly. Mains points to remember: There should be a 2-3 finger width (1-1.5 inches) gap between the armpit (axillae) and crutch rest pad when the patient holds the crutches.
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