Addisons drug : Fludrocortisole
Fludrocortisone adverse affects
Seizures Circulatory collapse Embolism Can cause a negative nitrogen Anaphylaxis
Decreased Fludrocortisone reactions with
Barbituates and phenytoin
fludrocortisone used to treat?
Addison's Adrenal insufficiency
Fludrocortisone side effects
Can cause a negative nitrogen balance Flushing Sweating Headache Dizziness Hypertension Tachycardia Weight gain Hyperglycemia Hypokalemia
Who should not take fludrocoritsone
Children <2 Anyone with hypersensitivity
Fludrocortisone interactions with Na
Increased BP with sodium containing foods or medications
Fludrocortisone Nursing interventions
Monitor Daily weight Monitor I&O Assess closely for edema Assess VS every 4 hours Monitor electrolytes for imbalance Give with food or milk to decrease GI symptoms or give with anti ulcer meds
Fludrocortisone pt education
Notify physician if weight gain > 5 pounds in one week Notify physician if chest pain occurs Do not stop medication abruptly. Avoid exposure to disease, supresses immune response
How is fludrocortisone administered
PO
Fludrocortisone
Promotes increased reabsorption of sodium and loss of potassium, water, hydrogen from distal renal tubules. Aldosterone causes the retention of sodium and water. Advantages/Disadvantages Side Effects Ad
Fludrocortisone drug class
mineralocorticoid