Corticosteriods-exam 3

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Author:
amanda430
ID:
305677
Filename:
Corticosteriods-exam 3
Updated:
2015-07-24 12:37:43
Tags:
corticosteroids
Folders:
Pharm
Description:
Corticosteroids-Exam 3
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  1. What does the adrenal cortex produce?
    • Sex hormones
    • Mineral corticoid
    • Steroids
  2. What does the mineral corticoid steroid produce? What does it do?
    • Aldosterone
    • Conserves NA and H2O
    • Eliminates K
  3. Describe Addison's Disease
    Decreased Aldosterone > decrease NA, H2O, Increase K
  4. Describe Cushing's Disease
    increased aldosterone > increase NA, H2O, decrease K
  5. What is the gucocorticoids prototype?
    prednisone
  6. What does prednisone do to the CHO Metabolism?
    hyperglycemia
  7. What does prednisone do to the inflammatory system?
    anti-inflammatory
  8. What does prednisone do to the Nervous System
    euphoria, mood change, aggression
  9. What does prednisone do to the GI
    Ulcers
  10. What does prednisone do to the Protein Metabolism
    muscle wasting
  11. What does prednisone do to theFluid and Electrolyte
    Edema, hypokalemia
  12. What does prednisone do to the Respiratory system
    • Breath easier
    • increases bronchodilator, stabilizes mast cells
  13. What type of dose is used in replacement therapy?
    small dose
  14. why type of dose is used in a therapeutic doses?
    • larger doses
    • extension of the physiological effects
  15. What can you do to decrease ADEs of steroids
    • local use (topically, inhaler)
    • short course
    • taper doses
    • ADT or double dose every other day (for pts that need steroids for chronic use) 
    • give in morning

    ADT-alternate day therapy
  16. Are steroids a cure or palliative?
    palliative
  17. What is the prototype of steroids used for Anti-inflammatory
    prednisone
  18. What is the prototype of steroids used for Neurological
    Decadron
  19. What is the prototype of steroids used for Allergic Disorders
    Medrol
  20. What is the prototype of steroids used for Endocrine disorder
    Cortisone
  21. What is the prototype of steroids used for GI
    prednisone
  22. What is the prototype of steroids used for immunosuppressant
    Prednisone, Cortisone
  23. What is prednisone used for?
    • Anti-inflammatory
    • GI
    • Immunosuppressant
  24. What are contraindications of glucocorticoids?
    • systemic fungal infection
    • TB
  25. Use glucocorticoids cautiously in
    • Pregnancy
    • Risk for infection/with infection: (immunosuppressant)
    • DM: Increases BS
    • Peptic Ulcer
    • Increased BP, CHF: increased aldosterone can cause increase in holding onto water
    • Renal insufficiency
    • Psychosis
  26. What should you give glucocorticoids with?
    Milk or Food
  27. Nursing Dx with alt in body image
    • Moon Face
    • round belly
    • skinny legs
    • *generally temporary*

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