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RT Corticosteriods
Corticosteriods in Respiratory Care
| Question | Answer |
|---|---|
| Natural corticosteriods are secreted by the__________ ___________ | Adrenal Cortex |
| Those secrete by the adrenal cortex are termed__________ hormones | adrenalcorticoid |
| The inner zone (medulla) of the adrenal glands secrete___________. | adrenaline |
| The outer zone (cortex) of adrenal glands secrete__________. | corticosteriods |
| Name the three types of adrenal-corticoid hormones produced by the adrenal cortex: | mineralcorticiodss,sex hormomes,gluco-corticoids |
| The main glucocorticoid hormone is: | hydrocortizone |
| "Steroids" in general exert an_________ effect on the body. | antiinflammatory |
| The posterior portion of the pituitary gland releases___________hormone(_______) into the blood stream.ACTH,in turn,stimulates the adrenal gland to secrete__________(e.g hydrocortisone) | adrenocorticotropic,ACTH,glucocorticoids |
| Artificially raising the level of the body's steroids can result in suppression of the__________. | adrenal glands |
| How is "Performist" administered? | SVN |
| What is Immunoglobin E? What role does it play in inflammation? | IgE is an antibody. This antibody will attract Mast Cells and Eosinophils(cause inflammation). Once the Mast cells are sensitized it will rupture and cause degranulation. |
| Are there sympathetic or parasympathetic nerves in the lungs? | parasympathetic |
| What are some of the effects of natural glucocorticocoids on bodily functions? | glucogenesis(increased blood sugar),protein mobilization,fat mobilization,decreased inflammation |
| Te most significant side effect of treatmant with steroids is_________. | adrenal suppression or HPA suppression |
| With systemic administration of steriods,adrenal suppression begins after only a single________.The advantage of using inhaled corticosteriods is that their use minimizes________ suppression,by minimizing the _________and________the area of treatment. | (day or dose),adrenal,dosage,localizing |
| What is taper-dose therapy? | to slowly wean a patient for str |
| Four categories of events that occur in inflammation are: | increased vascular permeability,leukocyte infiltration,chemotaxis,phagocytosis,mediator cascade |
| Beclomethasone dipropionate | MDI:QVAR |
| Triamcinolone Acetonide | MDI:Azmacort |
| Flunisoline Hemihydrate | MDI:Aerospan |
| Fluticasone propionate | MDI:Flovent 44,110,220|DPI:Flovent Diskus 50,100,250 |
| Budesonide | DPI:Pulmicort SVN:Respules |
| Mometasone furoate | DPI:Asmanex Twisthaler |
| Fluticasone propionate/Salmeterol | DPI:Advair Diskus 100, 250, 500 over 50 macrograms MDI:Advair HFA |
| Budesonide/formoterol fumerate HFA | MDI: Symbicort 80,160 over 4.5 macrograms |
| Two of the more significant mediators are _____________and ____________. | Eosinophils and Leukocytes |
| Hazards and side effects of system steroids are: | Supression of the natural production of natural steroids,psychiatric responses, osteoporosis,peptic ulcers,fluid retention,hypertention, increased WBC's, and Hyperglycemia. |
| Steroid given IV in acute cases... | Solu-Mederal (methyprednisolone) |
| Two side effects of aerosolized steroids.. | candida and dysphonia |
Created by:
Stefgarner
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