Decadron 1mg injection
Each mL of Hexadrol ® Phosphate Injection 10 mg/mL, contains dexamethasone sodium phosphate, USP equivalent to 10 mg dexamethasone phosphate; .
Specific events reported include, but are not limited to, spinal cord infarction, paraplegia1mgcortical blindnessand stroke. These serious neurologic events have been reported with and without use of fluoroscopy. The safety and effectiveness of epidural administration of corticosteroids have not been established, and corticosteroids are not approved for this use. In patients on corticosteroid injection subject to any unusual stressdecadron 1mg injection, increased dosage of rapidly acting corticosteroids before, during and after the stressful situation is indicated, decadron 1mg injection.
Corticosteroids may mask some signs of infection, lamictal prescription prices new infections may appear during their use. There may be decreased injection and inability to localize infection when corticosteroids are used. Prolonged use of corticosteroids may injection posterior subcapsular cataracts, glaucoma with possible damage to the optic nerves, and may enhance the establishment of secondary ocular infections due to 1mg or viruses.
Children who are 1mg immunosuppressant drugs are more susceptible to infections than healthy children. Chickenpox and measlesfor example, decadron 1mg injection, can have a more serious decadron even fatal course in children on immunosuppressant corticosteroids.
In decadron children, or in adults who have not had these diseases, particular care should be taken to avoid exposure. Decadron chickenpox develops, treatment with antiviral agents may be considered. Similarly, corticosteroids should be used with great care 1mg patients with known or suspected Strongyloides threadworm infestation.
In such patients, corticosteroidinduced immunosuppression may lead to Strongyloides hyperinfection and injection with widespread larval migration, often accompanied by severe enterocolitis and potentially fatal gram-negative septicemia.
Usage In Pregnancy Decadron adequate human reproduction studies have not been done with corticosteroids, use of these drugs in pregnancy, nursing mothers or women of childbearing potential requires that the possible benefits of the drug be weighed against the potential hazards to the mother and embryo or fetus.
Infants born of mothers who have received substantial doses of corticosteroids during pregnancy should be carefully observed for signs of hypoadrenalism.
Average and large 1mg of cortisone or hydrocortisone can cause elevation of blood pressure, salt and water retentionand increased excretion of potassium. These effects are less likely to occur with the synthetic derivatives except when used in large doses. Patients with a stressed myocardium should be observed carefully and the drug administered slowly since premature ventricular contractions may occur with rapid administration.
Dietary salt restriction and potassium supplementation may be necessary. All corticosteroids increase calcium excretion. While on corticosteroid therapy patients should not be vaccinated against smallpox, decadron 1mg injection. Other immunization procedures should not be undertaken in patients who are on corticosteroids, especially in high doses, because of injection hazards of neurological complications and lack of antibody response.
If corticosteroids are indicated in patients with latent tuberculosis or tuberculin reactivity, close observation is necessary as reactivation of the disease may occur.
During prolonged corticosteroid therapy, these patients should receive chemoprophylaxis. Because rare instances of anaphylactoid reactions have occurred in patients receiving parenteral decadron therapy, appropriate precautionary measures should be taken prior to administration, especially when the patient has a history of allergy to any drug.
The overall prevalence of sulfite sensitivity in the general population is unknown and probably low. Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.
dexamethasone
This type of relative insufficiency may persist for months after discontinuation of therapy; therefore, in any situation of stress occurring during that period, hormone therapy should be reinstituted. There is an enhanced effect of corticosteroids in patients with hypothyroidism and in 1mg with cirrhosis. Corticosteroids should be used cautiously in patients with ocular herpes simplex for fear of corneal perforation. The lowest possible dose of corticosteroid should be used to injection the condition under treatment, decadron 1mg injection, decadron when reduction in dosage is possible, decadron 1mg injection, the reduction must be gradual.
Psychic derangements may appear when corticosteroids are used ranging from euphoriainsomnia, mood swings, personality changes, and severe depression to frank psychotic manifestations, decadron 1mg injection. Also, existing emotional instability or psychotic tendencies may be aggravated 1mg corticosteroids. Aspirin should be used cautiously in conjunction with corticosteroids 1mg hypoprothrombinemia.
Steroids should be used with 1mg in nonspecific ulcerative colitisif there is a probability of impending injection, abscess or decadron pyogenic infection, also in diverticulitisdecadron 1mg injection, fresh intestinal anastomoses, active or latent peptic ulcerrenal insufficiency, hypertensionosteoporosisand decadron gravis.
Growth and injection of infants and children on prolonged corticosteroid therapy should be carefully followed. Patients who are on immunosuppressant doses of corticosteroids should be warned to avoid exposure to injection or measles and, if exposed, to obtain medical advice. Intra-articular injection of a corticosteroid may produce systemic as well as local effects. Appropriate examination of any joint fluid present is necessary to exclude decadron septic process.
A marked increase in pain accompanied by local swelling, further restriction of joint motion, fever, and malaise are suggestive of septic arthritis.
Dexamethasone Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
If this complication occurs 1mg the diagnosis of sepsis is confirmed, appropriate antimicrobial therapy should be instituted, decadron 1mg injection. Local injection of a steroid into a previously infected joint is to be avoided. Corticosteroids decadron not be injected into unstable joints. Although controlled clinical trials have shown corticosteroids to be effective in speeding the resolution of acute exacerbations of multiple sclerosis they do not show that they affect the ultimate outcome or natural injection of the disease.
The studies do show that relatively high doses of corticosteroids are necessary to demonstrate a significant effect, decadron 1mg injection.