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P A R T 6
Drugs acting on the endocrine system
5.
People who have been receiving corticosteroid
therapy for a prolonged period and suddenly stop
the drug will experience an adrenal crisis because
their adrenal glands will not be producing any
adrenal hormones. Your assessment of a person
for the possibility of adrenal crisis may include:
a.
physiological exhaustion, shock and fluid
shift.
b.
acne development and hypertension.
c.
water retention and increased speed of
healing.
d.
hyperglycaemia and water retention.
6.
A person is started on a regimen of prednisone
because of a crisis in her ulcerative colitis. Care of
this person would need to include:
a.
immunisations to prevent infections.
b.
increased kilojoules to deal with metabolic
changes.
c.
fluid restriction to decrease water retention.
d.
administration of the drug around 8 or 9 a.m.
to mimic normal diurnal rhythm.
7.
A person who is taking corticosteroids is at
increased risk for infection and should:
a.
be protected from exposure to infections and
invasive procedures.
b.
take anti-inflammatory agents regularly
throughout the day.
c.
receive live virus vaccine to protect themselves
from infection.
d.
be at no risk if elective surgery is needed.
8.
Mineralocorticoids are used to maintain electrolyte
balance in situations of adrenal insufficiency.
Mineralocorticoids:
a.
are usually given alone.
b.
can be given only intravenously.
c.
are always given in conjunction with appropriate
glucocorticoids.
d.
are separate in their function from the
glucocorticoids.
MULTIPLE RESPONSE
Select all that apply.
1.
People who are taking corticosteroids would be
expected to report which of the following?
a.
weight gain
b.
round or “moon face” appearance
c.
feeling of wellbeing
d.
weight loss
e.
excessive hair growth
f.
fragile skin
2.
Corticosteroid hormones are released during a
sympathetic stress reaction. They would act to do
which of the following?
a.
increase blood volume
b.
cause the release of glucose for energy
c.
increase the rate of protein production
d.
block the effects of the inflammatory and
immune systems
e.
store glucose to preserve energy
f.
block protein production to save energy
