ATI Bethametasone - ati med template PDF

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ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

Bethametasone MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ glucocorticoid CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Betamethasone is a synthetic glucocorticoid with metabolic, immunosuppressive and anti-inflammatory activities. Betamethasone binds to specific intracellular glucocorticoid receptors and subsequently binds to DNA to modify gene expression.

Therapeutic Use Betamethasone is used tohelp speed up lung development in preterm babies. Betamethasone causes the release of surfactant, a substance that lubricates the lungs so that they do not stick together when the infant breathes.

Complications Increased blood sugar level. Trembling, dizziness, weakness, fatigue, and fast heartbeat. Low potassium level, which can cause muscle pain and cramps. Skin changes, such as. Signs of infection, including. Mood and behavior changes.

Contraindications/Precautions Hypersensitivity to betamethasone or its components, idiopathic thrombocytopenic purpura (IM injection), live virus vaccination, systemic fungal infection.

Interactions aminoglutethimide. amphotericin B injection and potassium-depleting agents antibiotics, specifically macrolide. anticholinesterases oral anticoagulants. antidiabetics. antitubercular drugs cholestyramine. cyclosporine. digitalis glycosides estrogens, including oral contraceptives. hepatic enzyme inducers (barbituarates, phenytoin, carbamazepine, rifampin) ketoconazole. nonsteroidal anti-inflammatory agents (NSAIDs). diminished response to vaccines

Evaluation of Medication Effectiveness Baby will have lungs developed enough to breath on own without requirement of medical interventions. Lungs will be developed and not require additional interventions.

ACTIVE LEARNING TEMPLATES

Medication Administration Betnesol Injection/Betamethasone Injection may be administered by slow intravenous injection, deep intramuscular injection or subconjunctival injection. Alternatively, Betnesol Injection/Betamethasone Injection may be given by intravenous infusion. Betamethasone 12 mg IM every 24 hours, for a total of 2 doses

Nursing Interventions Give daily dose before 9 AM to mimic normal peak corticosteroid blood levels. Increase dosage when patient is subject to stress. Taper doses when discontinuing high-dose or long-term therapy. Do not give live virus vaccines with immunosuppressive doses of corticosteroids. Monitor vitals. Monitor for adverse reactions. Fetal assessment for stress.

Client Education Explain medication and reasons for administration. Explain adverse effects....