Question

A client’s laboratory report reveals decreased serum and salivary cortisol levels and increased serum potassium level from hypofunctioning of the adrenal gland. The client is prescribed fludrocortisone. Which nursing action in the follow-up visit minimizes risk of a potential side effect of medication?

Answer 1

The appropriate action would be to monitor the blood pressure of the client.

Explanation:

Fludrocortisone refers to a kind of drug known as an oral mineralocorticoid. The drug is prescribed for treating a condition known as Addison's disease, in which the adrenal glands do not produce sufficient kind of hormones. The drug assists in substituting those hormones. It is also used in the treatment of a condition known as salt-losing adrenogenital syndrome, that is, a kind of hormonal imbalance. However, one of the potential side effects of the drug is that it can elevate blood pressure in the individuals taking the drug. Thus, there is a need to monitor the blood pressure of the patient in the given case, in order to reduce the threat of the potential side effect of the medicine.

Answer 2

The nurse must instruct the client to take the medication with meal or snack to prevent stomach ulcer and to avoid lying down for 4-5 hours after taking the drug to prevent supine hypertension. In addition, onset of headache should be reported and blood pressure should be constantly monitored.