Endocrine: Adrenal Drugs Flashcards

1
Q

Glucocorticoids

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

a. prednisone
b. methylprednisolone
c. hydrocortisone

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2
Q

Mineralocorticoids

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

d. fludrocortisone

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3
Q
USED TO TREAT:
 LOW dose: physiologic effects
 treat adrenal insufficiency- CHRONIC
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

a. prednisone
b. methylprednisolone
c. hydrocortisone

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4
Q
 USED TO TREAT:
 HIGH dose: pharmacologic effects
 treat inflammation- ACUTE
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

a. prednisone
b. methylprednisolone
c. hydrocortisone

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5
Q

a. prednisone
b. methylprednisolone
c. hydrocortisone
 LOW dose: physiologic effects
 treat ? - CHRONIC

adrenal insufficiency or inflammation

A

 LOW dose: physiologic effects

 treat adrenal insufficiency- CHRONIC

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6
Q

a. prednisone
b. methylprednisolone
c. hydrocortisone
 HIGH dose: pharmacologic effects
 treat ?- ACUTE

adrenal insufficiency or inflammation

A

 HIGH dose: pharmacologic effects

 treat inflammation- ACUTE

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7
Q

USED TO TREAT CONTINUED:
 NEONATES- Lung development

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

a. prednisone
b. methylprednisolone
c. hydrocortisone

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8
Q
 USED TO TREAT:
 Addison’s Disease
 Orthostatic Hypotension
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

d. fludrocortisone

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9
Q
 Adverse effects are seen at high doses
(pharmacologic/anti-inflammatory)
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

d. fludrocortisone

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10
Q
Adverse Effects High dose
 Cardiovascular
CNS
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

d. fludrocortisone

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11
Q

steroid psychosis,

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

d. fludrocortisone

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12
Q
electrolyte imbalances (hypokalemia,
hypernatremia)
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

d. fludrocortisone

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13
Q
C – Cataracts
U – Ulcers (peptic ulcer disease)
S –Skin thinning/Striae, Salt retention
H – Hypertension, Hirsutism
I – Immunosuppression, Infections
N – Necrosis of femoral heads
G – Glucose elevation/Glaucoma
O – Osteoporosis, Obesity
I – Impaired wound healing
D – Depression/mood changes
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

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14
Q
C –?
U – ?
S –?
H – ?
I –?
N – ?
G –?
O – ?
I – ?
D – ?
A
C – Cataracts
U – Ulcers (peptic ulcer disease)
S –Skin thinning/Striae, Salt retention
H – Hypertension, Hirsutism
I – Immunosuppression, Infections
N – Necrosis of femoral heads
G – Glucose elevation/Glaucoma
O – Osteoporosis, Obesity
I – Impaired wound healing
D – Depression/mood changes
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15
Q

Cushingoid

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

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16
Q

-NEVER STOP SUDDENLY, Taper off!
Try to mimic bodies natural levels (take in morning)
High doses can suppress Immune System (avoid CROWDS, stay safe!)
AVOID LIVE VACCINES, Watch out with Drug-Drug issues (NSAIDS, Grapefruit
Juice)
Can Delay Growth in Children
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

17
Q

Take first thing in the morning with food

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

d. fludrocortisone

18
Q
USED TO TREAT
Addison’s Disease
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

d. fludrocortisone

19
Q
USED TO TREAT
Orthostatic Hypotension
a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone
A

d. fludrocortisone

20
Q

Take first thing in the morning with food, No GRAPEFRUIT JUICE

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

a. prednisone
b. methylprednisolone
c. hydrocortisone

21
Q

ADRENAL CRISIS

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone

A

a. prednisone
b. methylprednisolone
c. hydrocortisone
d. fludrocortisone