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37 Cards in this Set

  • Front
  • Back

glucocorticoids used in low doses for

endocrine disorders

glucocorticoids used in high doses for (6)

asthma, cancer, allergies, arthritis, transplant, lupus

allograft means

transplant

glucocorticoid action: (4)

suppress:


inflammation (prostaglandins, histamine, leuko)


phagocytes


lysosomal enzymes


lymphocytes

adverse of glucocorticoids (7)

ulcer, glucose


glaucoma, osteoporosis


infection, potassium loss,


sodium retention

glucocorticoids lower _______ electrolyte among others

potassium

for patients with adrenal insufficiency___________

give extra glucocorticoid steroids during physiologic stressors like surgery

administer glucocorticoid steroids ___________

before 9am

name two glucocorticoid steroids:

cortisone, prednisone

glucocorticoids and vaccines?

no live flue vaccines

dose schedule for glucocorticoids

every other day before 9am

cushing syndrome

moon face

potassium loss can interact with (2)

diuretics and digoxin (increase levels)

symptoms of rheumatoid arthritis (3)

inflammation, cornea, vasculitis

goals of RA therapy (4)

reduce symptoms


joint and range of motion


minimize systemic


delay disease progress

3 types of drugs to treat RA

NSAIDS, glucocorticoid steroids,


disease modifying antirheumatic drugs (DMARDS)

two types of DMARDS

nonbiologic traditional


biologic DNA recombined

NSAID relief RA symptoms but...(2)

don't prevent injury


don't delay disease progress

glucocorticoids.... (2)

act quickly

might delay disease


DMARDS take ________ to see benefits

3 months

safest of three RA drug groups

NSAIDS

dose of NSAIDS for RA are _________ compared to NSAIDs dose for pain and fever

much higher

this group of meds is very toxic and only used for short period for RA treatment

glucocorticoids

DMARD of first choice

methotrexate

TNF means

tumor necrosing factor


(body's normal autoimmune response to kill tumors but can attack self with autoimmune diseases like RA)

__________, a biologic DMARD, neutralized TNF, suppressing autoimmune attack on joints

Etanercept

adverse of Etanercept and other TNF antagonist (biologic DMARDs)

compromise the whole immune system making you susceptible to all sorts of infections


TB, HBV

HBV means?

hepatitis B

TNF antagonists route

sub Q

name one TNF

etanercept

to reduc symptoms of TNF IV reaction use ____________ beforhand (3)

antihistamine, acetaminophen, glucocortioid

one symptom of RA drug IV reaction

hypotension

other RA drugs workd by inhibtin (3)

T cells, B cell, interluikins

reaction to RA medication might include _____________(1) due to immunosuppression

fever

entanercept requires which lab test first?

tb test

side effect of RA drug hydroxychloroquine

retinal

leflunomide (arava) - 3 side effects

tb, pregnancy, diarrhea