Monitoring Anti-inflammatory Drugs
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What should be checked at baseline before commencing long term oral corticosteroids?
Blood pressure Body weight Height HbA1C, triglycerides and potassium Optometrist assessment for glaucoma and cataract
How often should triglycerides and potassium be checked for those taking oral prednisolone?
1 month after initiating then every 6-12 months thereafter
How often should Hb1AC be checked for those taking oral prednisolone?
1 month then every 3 months thereafter
What bone disorder may need to be checked if a patient is on long term prednisolone?
Osteoporosis by DEXA scan
What should children prescribed prednisolone be monitored for?
Growth suppression
For those taking long term prednisolone what should they be monitored for - especially children?
Adrenal insufficiency
Who should be monitored if taking ICS?
Children
Patient carer advice for NSAIDS?
Topical application:- Wash hands Photosensitisation
Patient/Carer advice for Prednisolone?
Steroid card for those on long term use Risk of adrenal suppression if treatment for longer than 3 weeks A.S can last for a year or more after stopping Mention use of corticosteroid when being treated for illness or injury Mood changes in high doses Serious GI, Musculoskeletal and ophthalmic effects can occur
Patient/Carer advice for aspirin?
Increased risk of bleeding/bruising