COMPREHENSIVE QUESTIONS AND STEP
BY STEP SOLUTIONS
◉ Glucocorticoids actions
Is this a short acting med?
Answer: Action: decrease the synthesis and release of inflammatory
mediators (histamines, leukotrienes).
-> REDUCE AIRWAY EDEMA.
These medications prevent inflammation, suppress airway mucus
production, and promote
responsiveness of beta2 receptors in the bronchial tree.
The use of glucocorticoids does not provide immediate effects, but
rather promotes decreased
frequency and severity of exacerbations and acute attackss
◉ Glucocorticoids Short-term IV agents are used for ____
Answer: status asthmaticus
think about too much mucus inside bronchi
◉ Glucocorticoids uses
, Answer: - Inhaled agents are used for long-term prophylaxis of
asthma.
- Short-term oral therapy is used to treat manifestations following
an acute asthma episode.
- Long-term oral therapy is used to treat chronic asthma.
- Promote lung maturity and decrease respiratory distress in fetuses
at risk for preterm birth.
◉ Glucocorticoids SE
Inhalant: Beclomethasone
Answer: - Difficulty speaking, hoarseness, and candidiasis
›› Advise clients to rinse mouth or gargle with water or salt water
after use.
›› Advise clients to monitor for redness, sores, or white patches and
to report to provider if they occur.
Candidiasis may be treated with nystatin oral suspension
◉ Prednisone when used for 10 days or more can result in:
Answer: 1. Suppression of adrenal gland function, such
as a decrease in the ability of the adrenal
cortex to produce glucocorticoids.
2. Bone loss (can occur with inhaled agents
and oral agents)