Adverse effects of glucocorticoid therapy

Question 1

Infection

Answer 1

Management: rinse mouth and treat infection aggressively

Question 2

Myopathy

Answer 2

Management: physical activity

Question 3

Osteonecrosis

Answer 3

Management: discontinue/decrease therapy or joint replacement therapy

Question 4

Osteoporosis

Answer 4

Management: calcium + vitamin D, no smoking, bisphosphonate, weight exercise

Question 5

Physciatric

Answer 5

Management: decrease or discontinue dose

Question 6

Fluid/Salt retention

Answer 6

Management: treat edema and hypertension, reduce Na, supplement K

Question 7

Metabolic changes

Answer 7

Management: diet, hypoglycemia agents, insulin (if necessary)

Question 8

Gastric ulcer

Answer 8

Management: proton pump inhibitor, H2 receptor antagonist, avoid antacids

Question 9

Cataract

Answer 9

Management: surgery