Corticosteroids: implications for nursing practice

Several corticosteroids, such as prednisolone, dexamethasone and hydrocortisone/cortisol, are prescribed to suppress inflammation in a range of conditions. This article aims to update knowledge and encourage a review of practice. The emphasis will be on monitoring the adverse effects of medication and on patient education. After reading this article you should be able to: Explain the rationale for the prescription of topical and systemic corticosteroids. Detect and minimise the adverse effects associated with long-term administration of oral and topical corticosteroids. Discuss the importance of adherence to prescribed corticosteroid regimens. Recognise the drugs that interact with corticosteroids. Consider strategies to optimise medication management of corticosteroids.