mcp: endocrine oral cs

Question 1

oral cs uses

Answer 1

• Inflammatory disorders, such

- Immunosuppressive therapy

Question 2

oral cs dosing

Answer 2

• Variable
• Usually short-term therapy
• Sometimes dispensed as taper packs (ex. Medrol)
• Longer duration of therapy may require taper

Question 3

oral cs administration

Answer 3

• Take early in the day to prevent hyperactivity
• Take with food or milk to prevent GI upset
• Do not discontinue abruptly due to potential rebound (long-term therapy)

Question 4

oral cs side effects, short-term

Answer 4

GI irritation
Hyperactivity
Insomnia
Mood changes
Hyperglycemia
Sodium/fluid retention

(puberty)

Question 5

oral cs side effects, long-term

Answer 5

Immunosuppression
Hypertension
Bone loss
Cataracts/glaucoma
Weight gain
Moon face
Buffalo hump

Question 6

oral cs Precautions/Warnings:

Answer 6

-Adrenal suppression
-Immunosuppression
-Use with caution in:
Cardiovascular disease
Diabetes
GI disease
Osteoporosis

Question 7

oral cs Contraindications

Answer 7

Systemic fungal infections

Question 8

oral cs drug interxns

Answer 8

NSAIDs
Warfarin
Vaccines

Question 9

oral cs time of effect

Answer 9

• Varies depending on indication

- Usually within a few hours

Question 10

oral cs, What to monitor:

Answer 10

• With prolonged use in specific patient populations:
• Blood pressure (esp. in patients with hypertension)
• Blood glucose (esp. in patients with diabetes)
• Bone mineral density (in patients at risk for osteoporosis)
• Ophthalmic exams (potential cataracts/glaucoma)
• Growth (in children)