Adrenal Drugs – Pharmacology for Nurses: Practical Apps

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Chapter 33: Adrenal Drugs Test, Corticosteroid, Pharmacology for Nurses: Practical Applications

The key terms in this Pharmacology course include Adrenal Drugs, Serum Potassium Levels, Adrenal Medulla, Increased Sodium, Norepinephrine, Hormones, Muscle Mass, Epinephrine, Prednisone, Long-Term Corticosteroid Therapy, Adverse Effects, Hyperglycemia, Half Life of Prednisone, Exogenous Glucocorticoids


During long-term corticosteroid therapy, the nurse will monitor the patient’s laboratory results for adverse effects, such as: ( select all that apply ).

a. increased serum potassium levels

b. decreased serum potassium levels

c. increased sodium levels

d. decreased sodium levels

e. hyperglycemia

f. hypoglycemia

increased potassium levels

hypoglycemia

hyperglycemia

increased sodium levels

decreased serum potassium levels

decreased sodium levels


What is the elimination half life of Prednisone?

a. 20- 34 hr

b. 2-4 hours

c. 18-36 hours

d. 24-36 hours

2-4 hours

18-36 hours

20-34 hours

24-36 hours


What is the best time to give exogenous glucocorticoids ?

a. 6-8 pm with dinner

b. 6-9 AM 

c. 12-2 PM

d. anytime

6-9 AM

6-8 pm with dinner

anytime

12-2 PM


Which of the following is NOT an adverse effect from taking long term glucocorticoid medications?

a. moon face

b. thinning of the extremities

c. buffalo hump

d. rosacea

moon face

rosacea

buffalo hump

thinning of the extremities


 What hormones does the adrenal medulla secrete?

a. norepinephrine and epinephrine

b. corticosteroids and norepinephrine

c. mineralocorticoids and glucocorticoids

d. norepinephrine and mineralocorticoids

mineralocorticoids and glucocorticoids

norepinephrine and mineralocorticoids

corticosteroids and norepinephrine

norepinephrine and epinephrine


Which of the following adverse effects are often noted in patients on high dose Prednisone? Select all that apply.

a. weight gain 

b. ecchymosis

c. insomnia

d. loss of muscle mass

e. all of the above

f.  all of the above EXCEPT loss of  muscle mass

insomnia

all of the above

loss of muscle mass

weight gain

all of the above EXCEPT loss of  muscle mass

ecchymosis


During long-term corticosteroid therapy, the nurse will monitor the patient’s laboratory results for adverse effects, such as: ( select all that apply ).

a. increased serum potassium levels

b. decreased serum potassium levels

c. increased sodium levels

d. decreased sodium levels

e. hyperglycemia

f. hypoglycemia

increased potassium levels

hypoglycemia

hyperglycemia

increased sodium levels

decreased serum potassium levels

decreased sodium levels