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Abrams' clinical drug therapy : rationales for nursing practice

Geralyn Frandsen; Sandra Smith Pennington; Anne Collins Abrams

Chapter 15

Drug Therapy With Corticosteroids - all with Video Answers

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Chapter Questions

03:34

Problem 1

A 48-year-old patient is admitted to hospice. He has an aggressive form of brain cancer. $\mathrm{He}$ is having nausea and vomiting at least five times per day. He is also complaining of increasing headaches and pain on the right side of the head near the temporal lobe. The hospice physician has prescribed dexamethasone sodium phosphate (Decadron) $16 \mathrm{mg}$ IM.
- Why has dexamethasone sodium phosphate been ordered for this patient?
- What is the action of dexamethasone?

Jennifer Stoner
Jennifer Stoner
Numerade Educator

Problem 2

A 60-year-old woman has been diagnosed with ovarian cancer. Two weeks following her total hysterectomy, she is to begin chemotherapy. She asks the nurse how to handle the chemotherapy and about the occurrence of any nausea or vomiting. The nurse informs her that antiemetic medications are very effective in treating chemotherapy-induced emesis; for example, corticosteroids can assist in preventing emesis.
- How does dexamethasone sodium phosphate (Decadron) assist in preventing chemotherapyinduced emesis?
- What other medications will assist in preventing chemotherapy-induced emesis particularly when cisplatin is administered?

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