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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 |
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glucocorticoid action: (4) |
suppress: inflammation (prostaglandins, histamine, leuko) phagocytes lysosomal enzymes lymphocytes |
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adverse of glucocorticoids (7) |
ulcer, glucose glaucoma, osteoporosis infection, potassium loss, sodium retention |
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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 |
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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 |
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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 |
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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 |
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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 |