Steroids Flashcards
Prednisolone sodium succinate
fast-acting steroid, inject IV or IM + oral formulations
dexamethasone
fast acting, IV, IM, oral
methylprednisolone acetate
slow absorption, long-acting steroid IM/SC/intra-articular
prednisolone acetate
slow absorption, IM/SC/intra-articular
isoflupredone acetate
cattle, horses, pigs. some mineralocorticoid effect
- side effect: hypokalemia with repeated doses
IM/SC/intra-articular
glucocorticoids
high volume of distribution must be metabolized to its active form
glucocorticoid effects on HPA axis
steroids suppress the hypothalamo-pituitary adrenal axis
- important for weaning patient off steroids
glucocorticoid biological effect
increase blood glucose, increase gluconeogenesis
glucocorticoid immune effect
reduce inflammation at low-moderate dose
suppress immune system at high doses
stress leukogram
what enzyme does glucocorticoids inhibit?
phopholipase C
adverse effects of glucocorticoids
hyperadrenocorticism, hyperglycemia, diabetes in cats , delayed wound healing, muscle atrophy