Side Effects of Pred. and other Steroids Flashcards
1
Q
Endocrine SE:
A
Hyperglycaemia and glucose intolerance Cushing's syndrome Impotence Menstrual irregularities (low TSH) Hirsutism
2
Q
Cardiac SE:
A
Hypertension
CCF
3
Q
GIT SE;
A
GIT upset (n/v/d)
Peptic ulcer disease
Pancreatitis
4
Q
Immuno SE;
A
Decreased cell-mediated immunity;
Increased susceptibility to infections
5
Q
Muscles SE:
A
Proximal myopathy
Muscle wasting
6
Q
Ocular SE;
A
Cataracts
Glaucoma
7
Q
Haemolytic SE:
A
Thrombocytopenia
Lymphopenia
Platelet alterations (higher thrombotic risk)
8
Q
Dermatological SE:
A
Bruising Red striae Thin shiny skin Acne Delayed wound healing
9
Q
Psychological SE:
A
Depression
Psychosis
Behavioural changes (more violent)
10
Q
Metabolic SE:
A
Hypernatraemia Hypokalaemia Low TSH Polyuria/polydipsia (high glucose) Osteoporosis
11
Q
Some clinical considerations when prescribing steroids in hospital.
A
Monitor UECs for Na, K, and Ca.
Monitor BSLs
Prescribe a PPI to prevent gastritis/ulcers
