Term
Corticosteriod
Pathophysiology |
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Definition
metabolic: inc serum glucose (NOT FOR DIABETIC PATIENTS), inc ptn breakdown, inc fat metab
cardio: inc sensitivity of cardio tissue
survival effect during stress
water retention
lung maturation |
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Term
| corticosteroid indications |
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Definition
all act as anti inflammatory and immunosuppressent
-supraphysiologic (higher than other doses)
RA, IBD, Allergies, Asthma, dermatologic, and prevetion of allograft rejection |
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Term
corticosteriod
ADRs
(@high doses) |
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Definition
CUSHINGS (hyperadrenalism)
also if suddenly stopped=addisons disease
-hyperglycemia fast (causes/aggrivates DM)
-osteoprosis long term use
-pyschiatric fast onset
-cataracts long term use
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Term
|
Definition
| hyperglycemia, wt gain, inc Na retention and hypokalemia |
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Term
corticosteriod
discontinuing |
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Definition
TAPER: realted to strength and length of use
--stronger=longer
have emergency stash of medication to prevent falling into addisons conditions |
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Term
corticosteriod
contradictions and cautions |
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Definition
-immunosuppressed (current infection or after live vaccine)
-pediactric ptns (stunts growth)
-pregos/b feeding
-DM, HT, HF and PUD
-HIV/aids |
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Term
|
Definition
most potent to least
dexmethasone
bentamethasone
triamcino............
hydrocortisone
and cortisone |
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