Chapter 34 Flashcards

(27 cards)

1
Q

Adrenal drugs cannot be given with which drugs because it destroys the GI mucosa

A

Antigout and anti-inflammatory

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2
Q

What does the adrenal medulla secrete

A

Catecholamines: epinephrine, norepinephrine

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3
Q

What does the adrenal cortex secrete

A

Corticosteroid: glucocorticoids, mineralcorticoids (aldosterone)

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4
Q

Oversecretion of adrenal hormones causes

A

Cushing’s syndrome
Distribution of fat to areas in body

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5
Q

Under secretion of adrenal hormones leads to

A

Addison’s disease
Dehydration, nausea, vomiting, weight loss

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6
Q

What adrenal drug is used for newborns who do not have enough surfactant in lungs

A

Betamethasone
Dexamethasone

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7
Q

What drug is given to treat Addisons disease

A

Fludrocortisone

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8
Q

Should fludrocortisone be given with food or milk

A

Yes

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9
Q

What do adrenal drugs do

A

Modify enzyme activity to control inflammation and immune response

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10
Q

Adrenal drugs are often used for what two conditions

A

Immune disease
Transplant

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11
Q

Adrenal drugs can cause what

A

Hyperglycemia
Bone demineralization

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12
Q

When is the best time to take corticosteroids

A

Morning. Can cause insomnia

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13
Q

When should adrenal drugs not be given

A

When infection is present, suppressed immune system

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14
Q

Do adrenal drugs need to be tapered to stop

A

Yes

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15
Q

What is given with adrenal drugs to prevent or minimize bone demineralization

A

Vitamin D
Milk, cheese, salmon, sardines

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16
Q

Adrenal drugs have potent effects on all body systems T/F

17
Q

Which adrenal drugs decrease potassium, increase sodium, and increase blood sugar

18
Q

Adrenal drugs should not be taken with which meds

A

Non potassium sparring diuretics
Aspirin
Anticholinesterase

19
Q

Prednisone should not be given with what because it causes severe hypokalemia

20
Q

Can prednisone be given during pregnancy

21
Q

What is the most common oral glucocorticoid for anti inflammatory and immunosuppression

22
Q

Which adrenal drug can be used to treat exacerbations of chronic respiratory illness

23
Q

Which adrenal drug does not help Addisons disease

24
Q

4mg of Solu Medrol is equivalent to how much of Solu Cortef

25
Adrenal drugs are often given with what drug to prevent GI damage
PPI
26
What is the most important patient counselling point
Protect themselves: wash hands, stay away from sick people
27
Sudden discontinuation of adrenal drugs can cause
Adrenal crisis