A patient on steroid therapy should be taught to -

Correct option is C

Ans. (c) Not to discontinue medication abruptly
Explanation:
Steroid therapy (Corticosteroids), such as prednisone, dexamethasone, or hydrocortisone, is used for treating inflammatory and autoimmune conditions like asthma, rheumatoid arthritis, and lupus. However, steroids must never be stopped abruptly due to the risk of adrenal insufficiency.
Why should steroids not be discontinued abruptly?
1. Suppresses the Hypothalamic-Pituitary-Adrenal (HPA) Axis:
· Long-term steroid use suppresses natural cortisol production by the adrenal glands.
· If stopped suddenly, the body cannot produce enough cortisol, leading to adrenal crisis.
2. Symptoms of Adrenal Insufficiency (Steroid Withdrawal Syndrome):
· Severe fatigue
· Weakness & dizziness
· Low blood pressure (hypotension)
· Nausea, vomiting, and abdominal pain
· Hypoglycemia (low blood sugar levels)
3. Proper Discontinuation (Tapering Down Steroids):
· Gradual dose reduction allows the adrenal glands to regain normal function.
· The tapering schedule depends on the dose, duration of therapy, and patient response.
Why are the other options incorrect?
1. Increase sugar intake → (Incorrect Choice)
· Steroids increase blood sugar levels, so diabetic and non-diabetic patients should monitor sugar intake.
2. Increase dose as needed → (Incorrect Choice)
· Self-adjusting steroid doses can be dangerous and should only be done under medical supervision.
· Excess steroid use can cause Cushing’s syndrome (weight gain, moon face, hypertension, osteoporosis, etc.).
3. Increase food consumption to maintain weight → (Incorrect Choice)
· Steroids cause weight gain and fluid retention, so balanced nutrition is needed, not increased food intake.