Which laboratory values are essential to monitor when a client is receiving hydrocortisone therapy?

Monitoring electrolytes is crucial for clients receiving hydrocortisone therapy due to the medication's potential effects on the balance of sodium and potassium in the body. Hydrocortisone, being a glucocorticoid, can lead to sodium retention, fluid retention, and potassium loss, which may result in complications such as hypertension and hypokalemia. Regular assessment of electrolyte levels helps ensure that any imbalances are detected and managed promptly, thereby preventing serious consequences associated with these disturbances.

While monitoring plasma glucose levels, liver enzymes, and coagulation profiles can be important in certain clinical contexts, they are not as directly influenced by hydrocortisone therapy as electrolyte levels are. For instance, hydrocortisone may raise blood sugar levels, especially in diabetic patients, but the immediate concern in the context of electrolyte disturbances tends to be more pressing. Similarly, alterations to liver enzymes and coagulation profiles can occur for other reasons that are not specifically related to hydrocortisone treatment. Therefore, close monitoring of electrolytes is critical in ensuring patient safety and health during hydrocortisone administration.