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Some of the side effects that we see with steroids like methylprednisone are weight gain, osteoporosis, and an increase in blood sugar or hyperglycemia. A few of the nursing considerations for methyl prednisone avoid in active untreated infections. This drug may cause CNS alterations, peptic ulcers, and a cushingoid appearance like the moon face or the Buffalo hump. Methylprednisolone can cause some lab alteration, specifically elevated cholesterol, and lipid values. And remember those elevated blood sugars. Be sure to teach the patient signs of infection, even to something as simple as a sore throat, especially with patients who are on long-term steroid use, and also teach them to avoid grapefruit juice, because it can impact the metabolism of this medication. Guys, avoid subcutaneous administration of methylprednisone because of the chance of atrophy and also avoid IM Deloid injections for the same reason. That's it for methylprednisone or Solumedrol. Now go out and be your best self today and as always happy nursing.
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