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Unformatted text preview: ress
– Glucocorticoid withdrawal
Taper the dosage over 7 days
Switch from multiple doses to single doses
Taper the dosage to 50% of physiologic values
Monitor for signs of insufficiency Glucocorticoid Dosage
Glucocorticoid Highly individualized Determined empirically (trial and error)
– No immediate threat – start low and slow
Immediate threat – start high; decrease as possible Long-time use – smallest effective amount Prolonged treatment with high doses only if disorder is
Prolonged life-threatening or has potential to cause permanent
disability Increase in times of stress Wean gradually Alternate-day therapy You are assigned to the transplant clinic at the healthcare agency where
you are doing a clinical rotation. Your instructor assigns you to care for
Mr. O, 30 years old, who received a heart and lung transplant 6 weeks
ago. He is single with a large extended family. He tells you, “I have six
nieces and nephews. The oldest is 10, and the youngest is 8 months. I
was so glad to see all...
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This document was uploaded on 03/25/2014.
- Spring '14