What type of “steroid” is beclomethasone, and what are the therapeutic actions of this type of “steroid”?

Discussion Topics, Chapter 36, Adrenocortical Agents

Discussion Topics

Learning Objective(s)

1. Bernard has been placed on a beclomethasone (Beclovent) to be taken as a respiratory inhalant q.i.d. He is newly diagnosed with asthma and very concerned about taking “steroids.”

a. What type of “steroid” is beclomethasone, and what are the therapeutic actions of this type of “steroid”?

b. What are the most common adverse effects for clients taking inhaled beclomethasone?

2. Mrs. Jones has been diagnosed with bronchitis, and hydrocortisone (Cortef) has been added to her medication regimen to treat inflammation. You have been assigned to care for Mrs. Jones during clinical.

a. What are the key nursing concepts when implementing hydrocortisone therapy?

b. After receiving corticosteroids for a prolonged period of time, explain the pathophysiology for discontinuing the medication slowly.

c. What are the most common adverse effects of systemic corticosteroids?