Corticosteroids/glucocorticoids Flashcards

0
Q

What are two types of corticosteroids?

A

Mineralocorticoids and glucocorticoids

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1
Q

What are corticosteroids?

A

Hormones produced by the adrenal gland

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2
Q

What are minerralocorticoids?

A

Regulate mineral levels in the body

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3
Q

What do glucocorticoids do? 2

A

Have many effects in the body including antiinflammatory and

Inhibit production of phospholipase

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4
Q

How are corticosteroids regulated?

A

Feedback inhibition

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5
Q

What do glucocorticoids affect biologically?

A

CBC

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6
Q

What do glucocorticoids inhibit? 3

A

Scar tissue formation
T cell formation
Phospholipase production

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7
Q

What can glucocorticoids induce?

A

Labor

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8
Q

What can glucocorticoids suppress?

A

Body’s immune system

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9
Q

Of the biologic effects, What can glucocorticoids increase?

A

Gastric acid secretion
Breakdown of protien
Blood glucose levels

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10
Q

What can glucocorticoids decrease? 4

A

Inflammation
Mucus production in GI
Lymphocytes
Eosinophils

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11
Q

What can overuse of glucocorticoids lease to?

A

Hyperadrenocorticism

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12
Q

What are five symptoms of hyperadrenocorticism?

A
PUPD
Polyphagia 
Alopecia
Muscle atrophy (pot bellied)
Thin skin
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13
Q

What are glucocorticoids classified by?

A

Length of effect

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14
Q

What are short acting glucocorticoids?

A

Biologic effect lasting less than 12 hours

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15
Q

What are intermediate acting glucocorticoids?

A

Biologic effect lastig 12-36 hours

16
Q

What are long acting glucocorticoids?

A

Last longer that 48 hours

17
Q

What are two examples of short acting glucocorticoids?

A

Hydrocortisone and cortisone

18
Q

What are five examples of intermediate acting glucocorticoids?

A
Prednisone
Prednisolone
Triamcinolone
Methylprednisolone
Isoupredone
19
Q

What are three examples of long acting glucocorticoids?

A

Dexamethasone
Betamethasone
Flumethasone

20
Q

What is an aqueous solution?

A

The glucocorticoid is combined with a salt and dissolved in water

21
Q

What can be given in large doses intravenously with less risk of an adverse reaction and has a relatively rapid onset of activity?

A

Aqueous solutions

22
Q

What are two examples of aqueous solutions?

A

Dexamethasone sodium phosphate

Prednisolone sodium succinate

23
Q

This glucocorticoid formulation does not contain salt and is dissolved in alchohol and the glucocorticoid is the only active ingredient

A

Alchohol solutions

24
Q

This formulation the glucocorticoid is suspended in a liquid and needs to be shaken

A

Suspensions

25
Q

How long do suspensions take to absorb?

A

Period of days

26
Q

What glucocorticoid should never be administer IV and be kept at room temp?

A

Suspension

27
Q

What are two examples of suspensions?

A

Methylprednisolone acetate

Triancinone

28
Q

What are six safe guidelines for glucocorticoids

A

Use another drug if possible
Use smallest dose then reduce
Avoid continuous use, alternate days
Be cautious when using ones that have a long biologic or lasting effect
Taper dose down when discontinuing
Glucocorticoids can be infuriated by other disease processes