Hydrocortisone (Cortef) has been prescribed for a client. Which diagnoses does the nurse anticipate could be made based on this prescribed medication? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Adrenocortical insufficiency
2. Intra-articular injections
3. Inflammation
4. Allergic disorders
5. Type I diabetes
Correct Answer: 1, 2, 3, 4
Rationale 1: Structurally identical to the natural hormone cortisol, hydrocortisone is a synthetic corticosteroid that is the drug of choice for treating adrenocortical insufficiency.
Rationale 2: Hydrocortisone is also available for the treatment of inflammation, allergic disorders, and many other conditions. Intra-articular injections may be given to decrease severe inflammation in affected joints.
Rationale 3: Hydrocortisone is also available for the treatment of inflammation, allergic disorders, and many other conditions. Intra-articular injections may be given to decrease severe inflammation in affected joints.
Rationale 4: Hydrocortisone is also available for the treatment of inflammation, allergic disorders, and many other conditions. Intra-articular injections may be given to decrease severe inflammation in affected joints.
Rationale 5: This medication would not be prescribed for type I diabetes.
Global Rationale: Structurally identical to the natural hormone cortisol, hydrocortisone is a synthetic corticosteroid that is the drug of choice for treating adrenocortical insufficiency. Hydrocortisone is also available for the treatment of inflammation, allergic disorders, and many other conditions. Intra-articular injections may be given to decrease severe inflammation in affected joints. This medication would not be prescribed for type I diabetes.
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