Steroids Flashcards
what are the glucocorticoid side effects of steroids
weight gain impaired glucose regulation hirsuit hyperlipidaemia cushings osteoporosis proximal myopathy AVN femoral head immunosuppression glaucoma cataract neutrophilia IIH suppression of growth in kids
what are the mineralocorticoid side effects of steroids
fluid retention
hypertension
what happens when a patient who is on long term steroids has an incurrent illness
you should double the dose
when are systemic steroids required to be gradually withdrawn
if pt received more than 40mg pred daily for more than one week, received >3 weeks tx or recently received repeated courses
what is a rare but serious ophthalmic risk of steroids
chorioretinopathy
what are two main situations you should avoid giving steroids
receiving a live vaccine
systemic infection
what are the maincautions for systemic steroids
HF DM glaucoma history of steroid myopathy hypertension hx of TB myasthenia osteoporosis peptic ulcers
what happens if long term steroids are abruptly stopped
as adrenal atrophy will have developed the abrupt withdrawal will lead to acute adrenal insufficiency hypotension or death
what are the common psychiatric problems related to steroids
euphoria, insomnia, irritability, mood lability, suicidal thoughts, psychotic reactions, and behavioural disturbances
what should be monitored in kids on steroids
height and weight
what should patienst be advised about when starting steroids
immunosuppression
adrenal suppression
mood and behaviour changes
