CorticosteriodsPart2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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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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