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25 Cards in this Set

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composed of the adrenal cortex, and the adrenal medulla
adrenal gland
secretes cateccholamines: epinephrine(fight/flight response) & norepinephrine( constrict blood vessels and increase B/P and glucose levels
adrenal medula
epinephrine controls:

norepinephrine cotrols:


both are secreted by the:

flight/ fight response; constrict blood vessels and increase B/P and glucose leves; adrenal medula
secretes corticosteroids such as gluccocorticoids
adrenal cortex
oversecretion of adrenal hormones lead to:
cushing's syndrome
Cushing syndrome S/S
Na& fluid retention, hyperglycemia, CNS irritability, thin extremities, GI distress, increase acid, osteoparosis, thick skin
Na& fluid retention, hyperglycemia, CNS irritability, thin extremities, GI distress, increase acid, osteoparosis, thick skin
undersecretion of adrenal hormones lead to:
addison's disease
addison's disease S/S
hypoglycemia, bronze pigmentation of the skin, change in the distribution of body hair, GI disturbance, weakness, weight loss, postural hypotention
hypoglycemia, bronze pigmentation of the skin, change in the distribution of body hair, GI disturbance, weakness, weight loss, postural hypotention
adrenal drug:
Gluccocorticoids ( topical, systemicc, inhaled, nasal)
Glucocorticoids drugs
fluticasone propionate ( Flonase), hydrocortisone (several formulations),

cortisone,


methylprensolone (Solu-Medrol)


prednisone (Deltasone, Sterapred, Liquid Pred)

Glucocorticoids__ or help___ inflammatory and immune response.
inhibit; help
adrenal drugs indications:
cerebral edema, dermatologic disease, GI disease, Exacerbation of chronic respiratory illnesses, such as asthma and COPD
Glucocortioids: administration by inhalation for control of _____.
steroid responsive bronchospastic states.
Glucocortioids: administered nasally for____.
rhinitis and to prevent the recurrence of polyps after surgical removal.
Glucocoricoids: administered topicallly for___.
inflammation of the eye, ear, and skin.
oral corticosteroids should be taken when?
in the morning to minimize adrenal suppression.
adrenal steroid inhibitors, used in the treatment of Cushing's syndrome, metastatic, breast cancer, and adrenal cancer.
aminoglutethimide (Cytadren), antiadrenal
containdications for antiadrenals:
ulcer disease( because it can cause the stomach to perforate) diabetes, cardiac/renal/liver dysfunction.
antiadrenals adverse effects: cardiovascular, CNS
cardiovascular: heart failure, cardiac edema, hypertension, all caused by electrolyte imbalances (hypokalemia, hypernatremia),



CNS: convusions, "steroid psychosis"

antiadrenals adverse effects: endocrine,GI
endocrine: cushing's syndrome, menstral irregularities, carboydrate intolerance



GI: peptic ulcers with possible perforation

antiadrenals adverse effects: integumentary,

ocular, other?

poor wound healing, increased intraocular pressure, glaucoma, weight gain
systemic forms of antiadrenal drugs may be give by oral, IM, IV, or rectal routs but NOT
subcut
after using an orally inhaled corticosteroid, instruct the patient to____to prevent possible _____.
rinse their mouths; oral fungl infetions
patients should be taught to take all adrenal medications___ usually____ with___.
at the same time every day; in the morning; with meals or food.
patients should not take with (3) with corticosteroids due to the possible development of____.
alcohol, NSAIDS, asprin; gastric ulcers