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💊 Fludrocortisone: What Every Nursing Student Should Know Fludrocortisone is a corticosteroid with strong mineralocorticoid activity used to replace hormones in patients with adrenal insufficiency and help regulate salt and water balance. Common Uses ✅ Addison’s disease (primary adrenal insufficiency) ✅ Congenital adrenal hyperplasia ✅ Orthostatic hypotension (in selected patients) Key Effects on the Body 🔹 Increases sodium and water retention. 🔹 Raises blood pressure. 🔹 Increases potassium excretion, which may lead to hypokalemia. 🔹 May cause swelling (edema) and weight gain. Effects on the Immune System ⚠️ Suppresses the immune response, increasing the risk of infections. ⚠️ Patients should report fever, chills, sore throat, or other signs of infection promptly. ⚠️ Avoid close contact with individuals who have contagious illnesses. Important Side Effects ✔️ Hypertension ✔️ Edema ✔️ Hypokalemia (muscle weakness, cramps, irregular heartbeat) ✔️ Increased blood glucose ✔️ Mood changes or insomnia ✔️ Increased risk of infection Major Drug Interactions 💊 Diuretics → Increased risk of hypokalemia. 💊 Digoxin → Higher risk of digoxin toxicity with low potassium. 💊 NSAIDs → Increased risk of gastrointestinal bleeding. 💊 Anticoagulants → May alter anticoagulant effects. 💊 Antidiabetic medications → May require dosage adjustments due to elevated blood glucose. 💡 NCLEX Tip: Monitor blood pressure, daily weight, serum potassium, blood glucose, and signs of infection. Teach patients not to stop fludrocortisone abruptly unless instructed by their healthcare provider. 📚 Subscribe to Naxlex Nursing for more! 🌐 nursing.naxlex.com
💊 Fludrocortisone: What Every Nursing Student Should Know Fludrocortisone is a corticosteroid with strong mineralocorticoid activity used to replace hormones in patients with adrenal insufficiency and help regulate salt and water balance. Common Uses ✅ Addison’s disease (primary adrenal insufficiency) ✅ Congenital adrenal hyperplasia ✅ Orthostatic hypotension (in selected patients) Key Effects on the Body 🔹 Increases sodium and water retention. 🔹 Raises blood pressure. 🔹 Increases potassium excretion, which may lead to hypokalemia. 🔹 May cause swelling (edema) and weight gain. Effects on the Immune System ⚠️ Suppresses the immune response, increasing the risk of infections. ⚠️ Patients should report fever, chills, sore throat, or other signs of infection promptly. ⚠️ Avoid close contact with individuals who have contagious illnesses. Important Side Effects ✔️ Hypertension ✔️ Edema ✔️ Hypokalemia (muscle weakness, cramps, irregular heartbeat) ✔️ Increased blood glucose ✔️ Mood changes or insomnia ✔️ Increased risk of infection Major Drug Interactions 💊 Diuretics → Increased risk of hypokalemia. 💊 Digoxin → Higher risk of digoxin toxicity with low potassium. 💊 NSAIDs → Increased risk of gastrointestinal bleeding. 💊 Anticoagulants → May alter anticoagulant effects. 💊 Antidiabetic medications → May require dosage adjustments due to elevated blood glucose. 💡 NCLEX Tip: Monitor blood pressure, daily weight, serum potassium, blood glucose, and signs of infection. Teach patients not to stop fludrocortisone abruptly unless instructed by their healthcare provider. 📚 Subscribe to Naxlex Nursing for more! 🌐 nursing.naxlex.com

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