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Nursing Care Plan

t consulting physician•Importance of complying with dosage schedule, even if feeling better•To rise slowly to sitting or standing position to minimize orthostatic hypotension•To notify physician of mouth sores, sore throat, fever, swelling of hands or feet, irregular heart beat, chest pain•To report excessive perspiration, dehydration, vomiting, diarrhea; may lead to fall in B/P•That drug may cause dizziness, fainting, light-headedness during 1st few days of therapy•That drug may cause skin rash or impaired perspiration•How to take B/P; normal readings for age group Treatment of overdose: 0.9% NaCl IV INF, hemodialysisFLUOCINONIDEFlucinolone, Fluocinolone Acetonide, Fluonid, Flurosyn, Synalar, Synalar-HP, Synemol, Fluocinonide, Lidemol, Lidex, Lidex-E, Vasoderm, Vasoderm EFunc. class.: Topical corticosteroidChem. class.: Synthetic fluorinated agent, group II potencyAction: Possesses antipruritic, antiinflammatory actionsUses: Psoriasis, eczema, contact dermatitis, pruritusDosage and routes:•Adult and child: Apply to affected area tid-qidAvailable forms: Oint 0.05%; cream 0.05%; sol 0.05%; gel 0.05%Side effects/adverse reactions:INTEG:Burning, dryness, itching, irritation, acne, folliculitis, hypertrichosis, perioral dermatitis, hypopigmentation, atrophy, striae, miliaria, allergic contact dermatitis, secondary infectionContraindications: Hypersensitivity to corticosteroids, fungal infectionsPrecautions: Pregnancy (C), lactation, viral infections, bacterial infectionsNURSING CONSIDERATIONSAssess:•Temperature: if fever develops, drug should be discontinuedAdminister:•Only to affected areas; do not get in eyes•Medication, then cover with occlusive dressing (only if prescribed), seal to normal skin, change q12h; use occlusive dressings with extreme caution•Only to dermatoses; do not use on weeping, denuded, or infected areaPerform/provide:•Cleansing before applica...

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