What should be monitored in patients receiving cortisone treatment?

When patients are receiving cortisone treatment, it is crucial to monitor adrenal function. Cortisone, a synthetic corticosteroid, can suppress the body's natural production of adrenal hormones due to the feedback mechanism that regulates hormone levels. Long-term use of corticosteroids can lead to a condition known as adrenal insufficiency, where the adrenal glands do not produce sufficient amounts of hormones. Monitoring adrenal function helps ensure that the adrenal glands are still functioning properly and that the patient does not experience withdrawal symptoms or complications due to suppressed hormone production.

The other options, while important in certain contexts, are not the primary concerns when monitoring patients on cortisone therapy. Blood sugar levels may fluctuate as corticosteroids can cause hyperglycemia, but they are not the main focus compared to adrenal function. Cholesterol levels and liver enzymes are also relevant in specific situations but are not directly influenced by cortisone in the way that adrenal function is, making them less critical for continuous monitoring in this context. Thus, focusing on adrenal function is essential for managing the potential side effects of cortisone treatment effectively.