A client with diabetes mellitus taking daily nph insulin has been started on therapy with dexamethasone. The nurse should increase the dose of NPH insulin.
Dexamethasone is a glucocorticoid that is used to treat a variety of conditions, including rheumatoid arthritis, severe allergies, asthma, chronic obstructive pulmonary disease, croup, brain swelling, eye pain following eye surgery, superior vena cava syndrome (a complication of some types of cancer), and tuberculosis when combined with antibiotics.
It may be combined with a mineralocorticoid drug like fludrocortisone to treat adrenocortical insufficiency. It can be utilized to help the baby's outcomes during premature labor.
It can be administered orally, intravenously, intramuscularly, topically as a cream or ointment for the skin, or topically as an ophthalmic solution to the eyes.
Dexamethasone's effects usually become apparent within a day and last for three to four days.
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