Table 75-10.
Common Side Effects of Pharmacologic Therapies
Side Effect | Possible Causative Agent | Comment |
---|---|---|
Hypokalemia | Adrenergic agonists | Patients using prolonged hourly or continuous inhaled therapy or intravenous therapy should have serum potassium levels monitored |
Tremor/agitation | Adrenergic agonists | Dose dependent |
Hypertension | Corticosteroids, adrenergic agonists | May require reduction of dose, discontinuation of therapy, or addition of antihypertensive medication |
Tachycardia, palpitations, ventricular premature contractions | Adrenergic agonists, aminophylline, theophylline | Usually dose dependent. Serum levels of methylxanthines should be monitored. The risk is increased with hypoxemia or acidemia |
Hyperglycemia/glucosuria | Corticosteroids, adrenergic agonists | Resolves with completion or discontinuation of therapy |
Emotional lability | Corticosteroids | Resolves with completion or discontinuation of therapy |
Hyperphagia | Corticosteroids | Resolves with completion or discontinuation of therapy |
Seizure | Theophylline, aminophylline | Serum levels of methylxanthines should be monitored. Risk is increased in the presence of acidosis |
Elevated peripheral neutrophil count | Corticosteroids, adrenergic agonists (in particular, epinephrine) | May interfere with utility of the white blood count in assessing for infection |