PCP Expansion - Respiratory (Corticosteroids) Flashcards

1
Q

What are glucocorticoids?

A

Glucocorticoids are hormones that mimic cortisol. They play a crucial role in stress response, regulation of metabolism, and anti-inflammatory and immunosuppressive effects

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2
Q

List three key roles of glucocorticoids

A
  • Stress response
  • Anti-inflammatory and immunosuppressive effects
  • Metabolism regulation
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3
Q

How does glucocorticoids affect stress response?

A

Glucocorticoids suppresses non-essential functions and support the body during times of crisis, such as trauma or severe illness. They provide energy and suppress non-essential functions (e.g. digestive, immune and/or reproductive functions) to support the body during times of crisis

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4
Q

How does glucocorticoids affect anti-inflammatory and immunosuppressive effects?

A

Glucocorticoids can manage allergic reactions and inflammatory conditions by reducing the production of inflammatory substances

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4
Q

How does glucocorticoids affect metabolism regulation?

A

Glucocorticoids influence blood glucose levels by promoting the production of glucose and reducing its uptake by peripheral tissues. They also play a role in protein and lipid metabolism

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5
Q

Describe mineralcorticoids

A

Mineralocorticoids mimic the body’s primary mineralocorticoid aldosterone, which regulates sodium and water transport in the body

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5
Q

How do mineralcorticoids regulate electrolyte and fluid balance?

A
  • Mineralcorticoids, particularly aldosterone, help regulate sodium and water levels in the body
  • Mineralcorticoids enhance the reabsorption of sodium and water by the kidneys and promote the excretion of potassium
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6
Q

How do mineralcorticoids regulate blood pressure?

A

Mineralcorticoids indirectly regulate blood volume and pressure by controlling sodium and water balance in the body

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7
Q

What are two key roles of mineralcorticoids?

A
  • Electrolyte and fluid balance
  • Blood pressure regulation
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8
Q

When is Dexamethasone indicated?

A

Croup and bronchospasm secondary to asthma or COPD

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8
Q

What is the duration of Dexamethasone?

A

36-54 hours

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9
Q

What is the preferred route of Dexamethasone?

A

Oral administration is preferred for these indications

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10
Q

When is Hydrocortisone indicated?

A

Adrenal crisis

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11
Q

What is the duration of Hydrocortisone?

A

8-12 hours

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12
Q

What is the preferred route of Hydrocortisone?

A

IV administration is preferred for this indication

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13
Q

When do most corticosteroid adverse effects occur?

A

With long term use

14
Q

List early-onset adverse effects of corticosteroids

A
  • Hyperglycemia
  • Hypertension (especially if the corticosteroid has more mineralocorticoid activity)
  • Behavioral changes (e.g. irritability, anxiety, insomnia, psychosis, etc.)
15
Q

List long-term adverse effects of corticosteroids

A
  • Weight gain
  • Premature atherosclerotic disease increases the risk of myocardial infarctions and strokes.
  • Immunosuppression
  • Osteoporosis
  • Hypothalamic‐pituitary‐adrenal axis suppression