Schedule regular follow-up appointments. Frequency depends on the patient’s condition and the prednisone dosage, but at a minimum, plan for visits every 2-4 weeks initially.
Closely monitor blood pressure. Prednisone can elevate blood pressure, so regular checks are vital. Patients should record daily readings at home and report any significant changes.
Track blood glucose levels. Prednisone can affect blood sugar, leading to hyperglycemia. Diabetic patients require more frequent monitoring. Non-diabetic patients should have their glucose levels checked during their appointments.
Assess for signs of infection. Prednisone suppresses the immune system, increasing infection risk. Instruct patients to report any fever, cough, or other symptoms suggestive of infection immediately.
Monitor weight. Fluid retention is a common side effect. Weigh patients at each visit and note any significant fluctuations.
Observe for psychological changes. Mood swings, anxiety, and insomnia can occur. Open communication about mental health is crucial; consider referral to a mental health professional if needed.
Carefully examine the patient for signs of osteoporosis. Long-term prednisone use increases the risk. Bone density testing might be appropriate, particularly for older patients or those with risk factors.
Pay close attention to medication adherence. Discuss potential side effects and strategies for managing them to encourage continued compliance. Adjust the dosage or schedule as necessary based on patient response and tolerability.
Document all findings thoroughly in the patient’s medical record. This detailed record supports informed decision-making regarding continued treatment, dosage adjustments, and potential complications.
Remember: Close collaboration with the patient is key for successful prednisone therapy. Open communication and careful monitoring are crucial to minimize potential risks and achieve optimal outcomes.
