Exam3Lec7Adrenocortocosteroids Flashcards
What is the umberella term for GlLucocorticoids and mineralcorticoids?
Corticosteroids
When was dexamethasone effective and not effective in hospitalized with Covid-19?
Effective: Ventilator (Severe Covid)
Not effective when no O2 was received (mild
Covid)
Very Careful with use
Was administering intravenous corticosteroids effective for pts with significant head injury (severe brian injury)?
NO
What is the issue with administereing Glucocorticpids in the US? What are some major side effects?
- Doctors over prescribe them
- incr risk of sepsis, blood clots, bone fractures, and can cause new onset diabetes (w/ short 1 time doses)
What is secreted by the Adrenal gland in the
cortex ?
medulla?
- Cortex: adrenocorticosteroids & androgens (SEX HORMONES)
- Medulla: epinephrine (Catecholamines
What does the outer zona glomerulosa secrete?
aldosterone which regulates Na+ (H2O) kidney reabsorption (MINERALCORTICOIDS)
Aldosterone is regulated by Renin-Angiotensin System
What does the Middle zona fasciculata secrete?
cortisol which involved w/ metabolism & resistance to stress (GLUCOCORTICOIDS)
What does the inner zona reticularis secrete?
dehydroepiandrosterone (DHEA (ANDROGENS)
What is the highest level hormone?
Where is is released from?
What controls it secretion?
CRH (Corticotropin-releasing hormone)
CRH is released from the hypothalamus
CRH controls the secretion of ACTH
Where is ACTH secreted from?