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CorticosteriodsPart2

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Question
Answer
What are mineralocorticoids?   Steriods that maintain fluid & electrolyte balance through their influence on salt & water metabolism  
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What is aldosterone?   A mineralocorticoid. A hormone in the kidneys that increases sodium reabsorption from kidney tubules and water is reabsorbed along with the sodium  
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What does the adrenal cortex secretes?   male (androgens) and female (estrogens & progesterone)  
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What are corticosteriods useful for?   The treatment of broad spectrum diseases with an inflammatory or immunologic component.  
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What are the contraindications of corticosteroids?   Systemic Fungal infections. Use in caution at risk for infections and patients with infections because they may mask signs & symptoms so infections become more severe, diabetes mellitus.  
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What are the desired pharmacological effects of corticosteriods?   anti-inflammatory, innumosuppressive, anti-allergic, and anti-stress  
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What is prednisone prescribed for?   Nonendocrine disorders in which anti-inflammatory, antiallergic, antistress, and immunosuppresive effects are desired  
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What is Dexamethasone prescribed for?   cerebral edema associated with brain tumors, head injury because it penetrates the blood-brain barrier and achieves higher concentrations in cerbrospinal fluid  
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Which of the following types of tumors may produce corticotropin(Adrenocorticotropic hormone or ACTH, antidireutic hormone, or parathrroid hormone?   Lung Tumors  
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Adverse effects of systemic corticosteriods include:   Hypertension and Glucose Intolerance  
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Prednisone is prescribed for   Addison's Disease  
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In adrenal insufficiency, __________________ is a common symptom in critically ill patients. ________ caused by adrenal insufficiency may mimic hypovolemic or septic shock.   Hypotension  
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What would the physician prescribe for a patient with adrenal insufficiency and hypotension?   Corticosteriod. If adrenal insufficiency is caused by hypotension, corticosteriods can eliminate the need for vasopressor drugs to maintain adequate tissue perfusion.  
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Can corticosteriods be used for the treatment of adult respiratory distress syndrome (ARDs)?   No, they are not beneficial in early treatment or prevention of ARDS.  
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