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Adrenal Drugs
Chapter 33
Question | Answer |
---|---|
What hormones are secreted from the adrenal medulla? | epinephrine, and norepinephrine |
What hormones are secreted by the adrenal cortex? | corticosteroids: gluocorticoids, and mineralcorticoids. |
What disease is caused by oversecretion of adrenocortical hormones? | Cushing's syndrome. |
What disease is caused by undersecretion of adrenocortical hormones? | Addison's disease |
Indications for Adrenal drugs? | Cerebral edema, collagen diseases, COPD, organ transplant, ulcerative collitis, asthma, leukemias, lymphomas, spinal cord injury. |
For what are adrenal drugs nasally administered? | Rhinitis, prevent recurrence of polyps after surgical removal. |
What are the topical steroids used for? | inflammation of eye, ear and skin. |
What are the most commonly used oral steroids? | Prednisone, and dexamethasone |
What are the most commonly used injectable steroids? | Methylprednisone, hydrocortisone, and dexamethasone. |
What is the drug of choice for women in premature labor to accelerate fetal lung maturation? | Betamethasone. |
What are some common adverse effects of corticosteroids? | electrolyte imbalances, mood swings, psychic impairment, insomnia, growth suppresion, cushings, menstrual irregularities, peptic ulers, pancreatitis, fragile skin, petechiae, poor wound healing, osteoporosis, glaucoma, weight gain. Moon face! |
What is the only adrenal steroid inhibitor? | Aminoglutethimide, which is indicated for cushings syndrome. |
What is important for the nurse to do for a patient who is on steroids? | collect basline lab values (CBC) and vital signs, weight, I&O. hepatic function tests. (Baselines should be documented before treatment) |