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Adrenal Drugs

Chapter 33

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)
Created by: rachelrobb92



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