Exam 3 Steroids

Question 1

Cortisol (glucocorticoid) regulates what?

Answer 1

carb, fat, and protein metabolism

Question 2

Cortisol (glucocorticoid) maintains ___ reactivity

Answer 2

vascular

Question 3

What helps maintain homeostasis during periods of stress?

Answer 3

glucocorticoid (cortisol)

Question 4

Two natural glucocorticoid (cortisol) triggers?

Answer 4

surgery

pain

Question 5

Disease resulting from excessive production of cortisol?

Answer 5

Cushing’s disease

Question 6

Disease resulting from insufficient production of cortisol?

Answer 6

Addison’s disease

Question 7

Taking glucocorticoids may cause a ____ disorder.

Answer 7

secondary

Question 8

Chronic steroid use with significant stress causes what?

Answer 8

Secondary Adrenal Insufficiency

Question 9

Rare, emergency situation that is life-threatening from chronic steroid use?

Answer 9

adrenal crisis

Question 10

Adrenal crisis signs and symptoms?

Answer 10

Profuse sweating
hypotension
weak pulse
dyspnea (labored breathing)
cyanosis

Question 11

Each steroid is rated as to potency as compared to a _____ equivalent dose?

Answer 11

hydrocortisone

Question 12

What is most and least likely to cause adrenal suppression?

Answer 12

most = systemic steroids
least = topical steroids

Question 13

Corticosteroid products characterized by ____

Answer 13

duration of action

Question 14

Amount of hydrocortisone normally secreted daily by an adult without stress?

Answer 14

20 mg

Question 15

What if a medication exceeds dosage amount of equivalent 20 mg of hydrocortisone?

Answer 15

adrenal suppression

Question 16

How long of steroid use before alternate therapy is sought?

Answer 16

1 month

Question 17

What must you avoid with chronic steroid use?

Answer 17

aspirin and NSAIDS

Question 18

Oral side effects of steroids?

Answer 18

candidiasis
poor wound healing
masks oral infections
xerostomia

Question 19

Why use a steroid for dentistry?

Answer 19

reduce pain/swelling after surgery

treat inflammatory pathologies of oral mucosa

Question 20

Most common route of steroid use in dentistry?

Answer 20

topical for 2 weeks

Question 21

Dental topical drug ointment?

Answer 21

triamcinolone
fluocinonide
clobetasol proprionate
betamethasone

Question 22

Steroid topical rinses?

Answer 22

dexamethasone

prednisolone

Question 23

Oral steroid drugs?

Answer 23

methylprednisolone

prednisone

Question 24

Dentists must use caution prescribing steroids to the following populations:

Answer 24

pregnant
pediatric
geriatric

Question 25

Steroids can be used for ____, but not really for any other dental procedure.

Answer 25

major surgery

Question 26

How long before supplemental steroid prescription needed?

Answer 26

1-5 hours after procedure began (probably form pain)

Question 27

What are dentists monitoring during major surgery?

Answer 27

hypotension

Question 28

Hypotension numbers dentists should look out for?

Answer 28

Systolic

Question 29

Dental care for patients taking steroids?

Answer 29

``` schedule first thing in morning have Pt take usual daily dose stress reduction monitor BP anxiety control (nitrous oxide & valium) ```