Dexamethasone (Decadron) Nursing Considerations

• Excreted by the liver – monitor liver profile
• Avoid in active untreated infections
• May cause CNS alterations
• May cause peptic ulcers
• May cause Cushingoid appearance (buffalo hump, moon face)
• Weight gain
• Osteoporosis
• Decrease wound healing
• May elevate blood sugars
• May increase cholesterol and lipid values

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Transcript

Hey guys, let’s talk about dexamethasone, also known as Decadron. This is an oral medication, but it also comes in the form of an injection as you can see here. So remember when we talk about the therapeutic, this is what the drug does in the body while the pharmacologic class is the chemical effect. So the therapeutic class for dexamethasone is an antiasthmatic and a corticosteroid while the pharmacologic class is a corticosteroid. So dexamethasone works by suppressing inflammation and normal immune response. So we’ll say red hot for inflammation suppresses that. And it’s used in inflammatory states to decrease that inflammation. Dexamethasone is indicated to manage cerebral edema and also to assess for Cushing’s disease.

So some of the side effects that we see with dexamethasone or corticosteroids, in general, are weight gain. And I know being a nurse, I always hear patients say how much weight they have gained from taking steroids. So you’re probably going to hear this too. Also, we see elevated blood sugars and that cushingoid appearance, which is that moon face or that Buffalo hump. So let’s take a look at a few nursing considerations for dexamethasone. Dexamethasone may cause CNS alterations, peptic ulcers, osteoporosis, and decreased wound healing. The patient’s liver profile must be monitored as dexamethasone is excreted by the liver. Dexamethasone can increase cholesterol and lipid values. So keep this in mind with patients who might already have this issue. Avoid in patients who have active eye untreated infections and teach the patient to report weight gain and any non-healing wounds that they may have to their provider. So as a surgical nurse, we use dexamethasone a lot; it’s given to decrease swelling and inflammation after oral surgery, or if the patient was a difficult intubation, possibly tonsillectomies, or even for postoperative nausea and vomiting. That’s it for dexamethasone or Decadron. Now go out and be your best self today. And as always happy nursing.

Dexamethasone (Decadron) Nursing Considerations

You're watching a preview. 300,000+ students are watching the full lesson.

Included In This Lesson

Study Tools For Dexamethasone (Decadron) Nursing Considerations

300,000+ Students Use These Cheatsheets To Pass NCLEX

NURSING.com students have a 99.25% NCLEX pass rate.

Outline

Generic Name

Trade Name

Indication

Action

Therapeutic Class

Pharmacologic Class

Nursing Considerations

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

Transcript

Study Faster with Full Video Transcripts

Nursing School Doesn't Have To Be So Hard

Go from discouraged and stressed to motivated and passionate

Aaron

Study Plan Lessons

Welcome Back