Steroids

Question 1

Who can’t stop suddenly

Answer 1

More than 40mg daily for ONE WEEK
MORE than 3 weeks
Repeated evening doses
Recent course
Taken short course within 1 year of stopping long term
Other causes of adreanal suppression

Question 2

Tapering schedules

Answer 2

Decrease 2.5-5mg every 3-7 days
Once 7.5 reach decrease 0.5-1mg every 2-4 weeks

Question 3

Short term SE

Answer 3

Insomnia (take dose in morning)
Mood change (HIGH doses)
Weight gain (water retention)
GI discomfort

Question 4

Long term SE

Answer 4

Skin thinning
Weight gain
Increased infection risk
Osteoporosis
Psychological (HIGH dose)
Diabetes risk
Hypertension risk

Question 5

Adrenal crisis MEDICAL EMERGENCY symptoms

Answer 5

GI sever
Abdominal pain
Severe fatigue
Confusion

Question 6

Glucocorticoid effects (prednisolone)

Answer 6

Diabetes
Osteoporosis
Muscle wasting
Psychological

Question 7

Mineralocorticoid effects

Answer 7

Hypertension
Potassium loss
Calcium loss
Water retention
Sodium retention