Final answer:
To avoid complications from corticosteroid treatment in a patient with increased ICP, a nurse should monitor fluid and sodium levels, blood glucose regularly, and potentially start treatment with specific antacids or proton pump inhibitors.
Step-by-step explanation:
A patient with increased intracranial pressure (ICP) undergoing corticosteroid treatment must be carefully monitored by a nurse to avoid potential complications associated with this medication. Important actions include:
- Monitor fluid intake and sodium levels regularly: Corticosteroids can cause fluid retention and affect electrolyte balance, potentially exacerbating the patient's condition.
- Monitor the patient's sleep and diet routine regularly: Ensuring a proper sleep cycle and diet can mitigate the negative side effects of corticosteroids on mood and energy levels.
- Perform blood glucose monitoring at least every six hours: Corticosteroids can cause increased blood glucose levels, necessitating frequent checks to prevent hyperglycemia.
- Avoid taking any antacids along with corticosteroid treatment: Antacids can interfere with the absorption of corticosteroids.
- Start concurrent treatment with antacids or proton pump inhibitors: This seemingly contradictory suggestion actually addresses the increased risk of gastrointestinal irritation and ulcers from corticosteroids, so prescribing specific types of antacids or proton pump inhibitors that do not interfere with corticosteroid absorption can protect the gastric mucosa.