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Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Periodic adrenal function tests may be ordered to assess degree
None for this pt of hypothalamic-pituitary-adrenal (HPA) axis suppression in
chronic therapy. May cause ↑ serum and urine glucose
concentrations if significant absorption occurs
Be sure to teach the patient the following about this
medication
Advise patient to take medication as directed. Take missed doses as soon as remembered
unless almost time for next dose. Advise patient not to discontinue medication without
consulting health care professional; gradual decrease is required. Advise patients using
inhalation corticosteroids and bronchodilator to use bronchodilator first and to allow 5 min
to elapse before administering the corticosteroid, unless otherwise directed by health care
professional. Advise patient to notify physician if sore throat or sore mouth occurs.
Metered-Dose Inhaler: Instruct patient in the proper use of the metered-dose inhaler. Most
inhalers require priming before first use. There are 3 methods of using a metered-dose
inhaler. Shake inhaler well. (1) Take a drink of water to moisten the throat; place the inhaler
mouthpiece 2 finger-widths away from mouth; tilt head back slightly; while activating
inhaler, take a slow, deep breath for 3-5 sec, hold the breath for 10 sec, and breathe out
slowly. (2) Exhale, close lips firmly around mouthpiece, administer during 2nd half of
inhalation, and hold breath for as long as possible to ensure deep instillation of medication.
(3) Use a spacer. Consult health care professional to determine method desired before
instruction. Allow 1-2 min between inhalations. Rinse mouth with water or mouthwash after
each use to minimize fungal infections, dry mouth, and hoarseness. Wash inhalation
assembly at least daily in warm running water (see Appendix B )