Adrenocortical Agents

Question 1

Adrenocortical Agents across lifespan

Children-

Answer 1

• Dose is determined by severity of of condition, NOT age or weight
• Monitor growth and development, d/c if retardation
• Protect against infections and injuries

Question 2

Adrenocortical Agents across lifespan

Adult-

Answer 2

• Take in the morning
• Taper medication, DON’T STOP ABRUPTY
• Check OTC preps and corticosteroids
• Protect against infection and injuries

Question 3

Adrenocortical Agents across lifespan

Older adults-

Answer 3

• More likely to experience ADE– reduce dose and monitor closely
• More likely to have conditions that are impacted by corticosteroids (DM, HF and osteoporosis)

Question 4

Types of corticosteroids-

Answer 4

• Androgens
• Glucocorticoids
• Mineralocorticoids

Question 5

Actions of Adrenocortical Hormones

Answer 5

• Increase blood volume (aldosterone effect)
• Cause the release of glucose for energy
• Slow rate of protein production (reserves energy)
• Block activities of the inflammatory and immune systems (reserves energy)

Question 6

Common Glucocorticoids

Common names-

Answer 6

• Betamethasone
• Budesonide
• Cortisone
• Dexamethasone
• Hydrocortisone
• Methylprednisolone
• Prednisolone
• Prednisone