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Stack #39638/adrenal

adrenal cortcoids

QuestionAnswer
What does excess Glucocorticoids cause? How is this characterized? Cushing's syndrome;obesity, hyperglycemia, glycosuria, HTN, appearance of potbelly, moon face, and buffalo hump
What does adrenal insufficiency cause? How is this characterized? Addison's dz; weakness, emaciation, hypoglycemia, increased pigmentation of skin and mucous membranes
What must patients be advised of when taking glucocorticoids about dosage and supply? Take 2/3 in am & 1/3 in pm;At times of stress dosage must be increased, have ER supply w/ at all times including injectable plus oral med, wear ID bracelet for ER
What are S & S of adrenal crisis? What can this be caused by? hypotension,weakness, dehydration, vomiting diarrhea; adrenal failure from abrupt withdrawal of glucocorticoid therapy
What is the tx of adrenal crisis? Rapid replacement of fluids, salt, glucocorticoids, and sugar; injecting 100mg of hydrocortisone IV bolus followed by IV infusion of NS w/ dextrose, addtl hydrocortisone given 100mg/8hr
What are AE of glucocorticoids? Adrenal insufficiency, infection, PUD, muscle weakness, cushing appearance
What are the uses for glucocorticoids? suppress inflammation, immune response, replacement therapy for adrenal insufficiency
Created by: jrmcdermott
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