Dexamethasone, administered intravenously, can cause elevated blood sugar levels. Monitor glucose regularly, especially in patients with diabetes. Adjust insulin or oral hypoglycemics as needed. Frequent monitoring is key.
Increased appetite and weight gain are common. Encourage a balanced diet and regular physical activity. Dietician consultation may be beneficial for some patients.
Fluid retention can occur, leading to edema. Restrict sodium intake and monitor weight daily. Diuretics may be necessary in severe cases, but should be prescribed by a physician.
Mood changes, including irritability and anxiety, are possible. Provide emotional support and consider referral to a mental health professional if needed. Open communication with the patient is crucial.
Insomnia may develop. Encourage good sleep hygiene – a regular sleep schedule, a relaxing bedtime routine, and a dark, quiet room. Short-term use of sleep aids may be considered under medical supervision.
Increased risk of infection is a concern. Monitor for signs of infection, such as fever, chills, or redness. Prompt antibiotic therapy should be initiated if an infection develops.
Gastrointestinal upset, including nausea and vomiting, can occur. Administer antiemetics as needed, and consider smaller, more frequent doses of Dexamethasone if tolerated better.
Muscle weakness is another possible side effect. Encourage gentle exercise as tolerated to maintain muscle strength. Physical therapy may be helpful.
Always consult a physician for any concerns or if side effects worsen. Individual responses to Dexamethasone vary greatly, so personalized management is paramount.
