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46 Cards in this Set

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  • Back
Seven groups of corticosteroids?
corticosteroids, inhalation
corticosteroids, nasal
corticosteroids, ophthalmic
corticosteroids, systemic
(intermediate-acting)
corticosteroids, systemic
(long-acting)
corticosteroids,
topical/local
Five inhalation corticosteroids?
beclomethasone
budesonide
flunisolide
fluticasone
triamcinolone
Six nasal corticosteroids?
beclomethasone
budesonide
flunisolide
fluticasone
mometasone
triamcinolone
Six ophthalmic corticosteroids?
dexamethasone
flurometholone
loteprednol
medrysone
prednisolone
rimexolone
Two short-acting systemic corticosteroids?
cortisone
hydrocortisone
Four intermediate-acting systemic corticosteroids?
methylprednisolone
prednisolone
prednisone
triamcinolone
Three long-acting systemic corticosteroids?
betamethasone
budesonide
dexamethasone
Twenty topical/local corticosteroids?
alclometasone
amcinonide
betamethasone
clobetasol
clocortolone
desonide
desoximetasone
dexamethasone
diflorasone
fluocinolone
fluocinonide
flurandrenolide
fluticasone
halcinonide
halobetasol
hydrocortisone
methylprednisolone
mometasone
prednicarbate
triamcinolone
Corticosteroids are used in SMALL replacement doses (20mg of hydrocortisone or equivalent) systematically to treat _____ ______.
adrenocortical insufficiency
LARGER doses are usually used for their (3) activity?
antiinflammatory
immunosuppressive
antineoplastic
Corticosteroids are used adjunctively in many other situations, including? (2)
hypercalcemia
autoimmune diseases
Topical corticosteroids are used in the chronic management of?
reversible airway disease
(asthma)
Intranasal and ophthalmic corticosteroids are used in the management of?
chronic allergies
inflammation
Corticosteroids produce profound and varied 1_____ effects, in addition to modifying the normal 2_____ response and suppressing 3______.
1 metabolic
2 immune
3 inflammation
Corticosteroids are available in a variety of dosage forms including? (4)
oral
injectable
topical
inhalation
Prolonged use of large amounts of topical or inhaled agent may result in 1_____ ______ and/or 2____ _____.
1 systemic absorption
2 adrenal suppression
Contraindications?
Serious infections (except for certain forms of meningitis.

Do not administer live vaccines to patients on larger doses.
Prolonged treatment will result in ____ suppression.
adrenal
Do no discontinue _____.
abruptly
Additional doses may be needed during stress (2 examples)?
surgery
infection
Safety in pregnancy and lactation not established.
okay
Long-term use in children will result in (increased, decreased) growth.
decreased
May mask signs of _____.
infection
Use lowest dose possible for _____ time possible.
shortest
Alternate day therapy is preferable during ____-term treatment.
long
Additive ______ with amphotericin B, potassium-losing diuretics, mezlocillin, piperacillin, and ticarcillin
hypokalemia
Hypokalemia may incrase the risk of _____ toxicity.
digoxin
May increase requirements for ____ or oral hypoglycemic agents.
insulin
Phenytoin, phenobarbital, and rifampin stimulate metabolism and may (increase, decrease effectiveness
decrease
Oral contraceptives may block ______.
metabolism
Cholestyramine and colestipol may (increase, decrease) absorption.
decrease
Cholestyramine and colestipol may (increase, decrease) absorption.
decrease
Cholestyramine and colestipol may (increase, decrease) absorption.
decrease
Corticosteroids are indicated for many conditions. Assess involved systems prior to and periodically throughout course of therapy. Assess patient for signs of _____ _____ prior to and periodically throughout course of therapy.
adrenal insufficiency
What are the symptoms of adrenal insufficiency? (9)
hypotension
weight loss
weakness
nausea
vomiting
anorexia
lethargy
confusion
restlessness
Children should have periodic evaluations of ____.
growth
List 3 potential nursing diagnoses?
Infection, risk for
Knowledge, deficient, related
to disease processes and
medication regimen
Body image
IMPLEMENTATION:
If dose is ordered daily or every other day, administer in the morning to coincide with the body's normal secretion of _____.
cortisol
IMPLEMENTATION:
PO: Administer with ____ to minimize gastric irritation.
meals
Emphasize need to take medication exactly as directed. Review symptoms of ____ _____ that may occur when stopping the medication and that may be life-threatening.
adrenal insufficiency
Encourage patients on long-term thrapy to eat a diet (high, low) in protein, calcium, and potassium and (high, low) in sodium and carbohydrates.
high
low
These drugs cause immunosuppression and may mask symptoms of 1_____. Instruct patient to avoid people with known 2_____ illnesses and to report possible infections. Advise patient to consult hcp before receiving any 3_____.
1 infection
2 contagious
3 vaccinations
Discuss possible effects on body image. Explore coping mechanisms.
okay
Advise patient to carry id in the event of an emergency in which patient cannot relate medical history.
okay
EVALUATION:
Effectiveness of therapy can be demonstrated by?
Suppression of the inflammatory and immune responses in 3 conditions?
autoimmune disorders
allergic reactions
organ transplants
EVALUATION:
Effectiveness of therapy can be demonstrated by?
Replacement therapy in adrenal insufficiency and
resolution of 3 things?
skin inflammation
pruritis
other dermatologic conditions