Regularly assess blood glucose levels, especially if the patient has diabetes or risk factors. Target blood glucose should be discussed with the patient’s physician, keeping in mind the balance between COPD management and glycemic control. Frequency depends on individual needs, possibly daily initially, then adjusted.
Monitor blood pressure frequently, as Prednisone can elevate it. Aim for consistent readings within the target range recommended by their doctor. Consider daily monitoring during the initial phase of treatment, then adjust based on patient response.
Closely observe for signs of infection, such as fever, increased sputum production, or worsening cough. Report any changes immediately to the patient’s physician. Prompt action is key in preventing complications.
Track weight regularly. Prednisone can cause fluid retention and weight gain. Significant weight changes require medical attention. Weekly weigh-ins may be beneficial, especially in the first few weeks.
Assess for signs of muscle weakness or bone fragility (osteoporosis risk). Encourage regular, weight-bearing exercise (as tolerated) and discuss dietary calcium and vitamin D intake with the physician. These measures can mitigate these side effects.
Monitor for psychological changes, such as mood swings or irritability. Discuss these issues openly with the patient and their healthcare team. Addressing psychological well-being is a vital part of holistic care.
Regularly evaluate lung function (e. g., FEV1) to assess COPD progression and treatment efficacy. Compare these results with baseline measurements. Frequency will be determined by the patient’s physician based on clinical judgment.
Maintain open communication with the patient and their physician. Encourage the patient to actively participate in their care and report any concerns without delay. This collaborative approach ensures optimal management.
