Chapter 34

Question 1

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

Answer 1

Antigout and anti-inflammatory

Question 2

What does the adrenal medulla secrete

Answer 2

Catecholamines: epinephrine, norepinephrine

Question 3

What does the adrenal cortex secrete

Answer 3

Corticosteroid: glucocorticoids, mineralcorticoids (aldosterone)

Question 4

Oversecretion of adrenal hormones causes

Answer 4

Cushing’s syndrome
Distribution of fat to areas in body

Question 5

Under secretion of adrenal hormones leads to

Answer 5

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

Question 6

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

Answer 6

Betamethasone
Dexamethasone

Question 7

What drug is given to treat Addisons disease

Answer 7

Fludrocortisone

Question 8

Should fludrocortisone be given with food or milk

Answer 8

Yes

Question 9

What do adrenal drugs do

Answer 9

Modify enzyme activity to control inflammation and immune response

Question 10

Adrenal drugs are often used for what two conditions

Answer 10

Immune disease
Transplant

Question 11

Adrenal drugs can cause what

Answer 11

Hyperglycemia
Bone demineralization

Question 12

When is the best time to take corticosteroids

Answer 12

Morning. Can cause insomnia

Question 13

When should adrenal drugs not be given

Answer 13

When infection is present, suppressed immune system

Question 14

Do adrenal drugs need to be tapered to stop

Answer 14

Yes

Question 15

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

Answer 15

Vitamin D
Milk, cheese, salmon, sardines

Question 16

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

Answer 16

True

Question 17

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

Answer 17

All of them

Question 18

Adrenal drugs should not be taken with which meds

Answer 18

Non potassium sparring diuretics
Aspirin
Anticholinesterase

Question 19

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

Answer 19

Furosemide

Question 20

Can prednisone be given during pregnancy

Answer 20

No

Question 21

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

Answer 21

Prednisone

Question 22

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

Answer 22

Prednisone

Question 23

Which adrenal drug does not help Addisons disease

Answer 23

Prednisone

Question 24

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

Answer 24

20mg

Question 25

Adrenal drugs are often given with what drug to prevent GI damage

Answer 25

PPI

Question 26

What is the most important patient counselling point

Answer 26

Protect themselves: wash hands, stay away from sick people

Question 27

Sudden discontinuation of adrenal drugs can cause

Answer 27

Adrenal crisis