Glucocorticosteroids (steroids)

Question 1

Prototype

Answer 1

Hydrocortisone

Question 2

Ends in

Answer 2

Sone

Question 3

Primary use

Answer 3

Addisons disease: primary adrenal insufficiency AEB bronzed skin
Long term steroid use: Secondary adrenal insufficiency
Asthma, COPD
UC, Chron’s

Question 4

Considerations

Answer 4

4-10 days max unless Addison disease, then it’s life (prevents secondary adrenal insufficiency)
Encourage vitamin D
Don’t skip a dose
Take 6-9 am. That’s when cortisol is normally made.

Question 5

MOA

Answer 5

Stop inflamation
Suppress immune function

Question 6

Side effects

Answer 6

Too much steroid use: Cushing syndrome:
Acne, GI bleed, ulcers, irritability, increased hunger, increased osteoporosis risk, fat redistribution: buffalo hump, rounded face

Sodium and fluid retention: tachycardia, weight gain
Hyperglycemia
Increased infection risk

Question 7

Monitor

Answer 7

Weight gain, blood sugar, cushings syndrome, osteoporosis, potassium, GI bleeds, cholesterol levels