What is it about?

Dexamethasone is a glucocorticoid steroid and is indicated for the treatment of a variety of inflammatory conditions and presentations across a range of different body systems and disorders. The versatility of this drug results in high acuity use, however, there are cautions in its use. While low dose dexamethasone has an anti-inflammatory effect, high dosage can be immunosuppressive and prolonged use as this can lead to electrolyte disturbances such as hypernatraemia and hypokalemia. It is advised that patients who are prescribed long-term corticosteroids should be made aware of the increased susceptibility to infection.

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Why is it important?

The review is part of a continuing professional development series for independent non-medical prescribers and includes pharmacological and reflective questions. Completing the activities will support demonstrating competency and professional revalidation.

Perspectives

Authoring this CPD calculation skill series is a means of enhancing my professional development as an educator and independent nurse prescriber. By reviewing medications and the pharmacological management of conditions outside my usual practice, this expands my knowledge base and contributes to my teaching resources. This broader understanding makes a more effective and well-rounded professional.

Dr Sonya MacVicar
Edinburgh Napier University

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This page is a summary of: Dexamethasone, Journal of Prescribing Practice, January 2025, Mark Allen Group,
DOI: 10.12968/jprp.2025.0008.
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