What is an important consideration when administering corticosteroids for acute exacerbations?

When administering corticosteroids for acute exacerbations, monitoring for signs of infection is a critical consideration. Corticosteroids, due to their immunosuppressive effects, can inhibit the body's immune response, making patients more susceptible to infections. This is particularly important during periods of acute exacerbation when patients may already be under stress and potentially more vulnerable to opportunistic pathogens. By closely observing for symptoms such as fever, increased pain, or abnormal lab results that might indicate an infection, healthcare providers can take timely action to address any complications that may arise from corticosteroid use.

While other options may also hold relevance in specific contexts—such as checking renal function in patients with pre-existing conditions or monitoring blood glucose levels due to the hyperglycemic effect of corticosteroids—signs of infection remain paramount, especially in an acute scenario where the risk can be elevated. Electrolyte monitoring is important as well, particularly for long-term corticosteroid use, but in the context of acute exacerbations, the immediate risk of infection takes precedence.