Risk of Corticosteroids: Adrenal Suppression - Pharmacology | Lecturio Nursing
Вставка
- Опубліковано 24 лип 2024
- ► Get a free NCLEX NGN sample test today: lectur.io/nclexrnsampletestyt
► Create your free account today: lectur.io/nurseregisteryt
► If you’re an nursing educator or faculty member, visit: lectur.io/nursytb2u
In this video “Risk of Corticosteroids: Adrenal Suppression” you will learn about:
► the pathophysiology behind adrenal gland suppression
► the classic risk factors for adrenal gland suppression
► the hormones involved in the production of corticosteroids
► why corticosteroid therapy should not be abruptly discontinued
This video is part of the Lecturio course “Pharmacology: Endocrine Medications” ► WATCH the complete course on lectur.io/corticosteroids
► THE PROF: Rhonda Lawes is a Certified Nurse Educator (CNE) and Assistant Professor at the University of Oklahoma. She worked as a nurse manager at the Saint Francis Hospital and the Broken Arrow Medical Center. She has completed her Ph.D. in Educational Psychology at Oklahoma State University.
► LECTURIO is your smart tutor for nursing school: Learn the toughest NCLEX® topics with high-yield video lectures, integrated quiz questions, and more. Register now to study anytime and anywhere you want to: lectur.io/corticosteroids
► CHECK OUT ALL NURSING COURSES:
Leadership Nursing: lectur.io/leadershipnursing
Dosage Calculation Nursing: lectur.io/dosagecalcnursing
Physiology Nursing: lectur.io/physiologynursing
Medical Surgical Nursing: lectur.io/medsurgnursing
Pharmacology Nursing: lectur.io/pharmacologynursing
NCLEX® Pharmacology Nursing: lectur.io/pharmnclexnursing
Pediatric Nursing: lectur.io/pediatricnursing
Study Skills Nursing: lectur.io/studyskillsnursing
Fundamentals of Nursing - Theory: lectur.io/fundamentalstheory
Fundamentals of Nursing - Clinical Skills: lectur.io/fundamentalsclinical...
Nursing Prerequisites: lectur.io/nursingprerequisites
Mental Health Nursing: lectur.io/mentalhealthnursing
Nursing Care of Childbearing Family: lectur.io/maternalnewbornnursing
► INSTALL the free Lecturio app
iTunes Store: app.adjust.com/z21zrf
Play Store: app.adjust.com/b01fak
► CHECK OUT ALL NURSING COURSES:
Leadership Nursing: lectur.io/leadershipnursing
Dosage Calculation Nursing: lectur.io/dosagecalcnursing
Physiology Nursing: lectur.io/physiologynursing
Medical Surgical Nursing: lectur.io/medsurgnursing
Pharmacology Nursing: lectur.io/pharmacologynursing
NCLEX® Pharmacology Nursing: lectur.io/pharmnclexnursing
Pediatric Nursing: lectur.io/pediatricnursing
Study Skills Nursing: lectur.io/studyskillsnursing
► READ TEXTBOOK ARTICLES related to this video:
Diseases of the Oral Cavity and the Oropharynx: lectur.io/TEXTBOOKLINK
► SUBSCRIBE to our UA-cam channel: lectur.io/subscribenursing
► WATCH MORE ON UA-cam: lectur.io/nursingplaylists
► LET’S CONNECT:
Facebook: / lecturio.nursing
Instagram: / lecturio_nursing
TikTok: www.tiktok.com/@lecturio_nursing
LinkedIn: / lecturio-medical
#nursingschool #nursingeducation #pharmacology #nclex
Excellent presentation, it cant be simpler than this. It's crystal clear now and I am very excited to see more videos from you guys. Great work. Thank you.
Omg beautiful explanation. I have gone through sooo many videos trying to understand why we taper off corticosteroids and this one is the BEST! Thank you 🙏🏿
I am a respiratory therapist. Found this amazing to review my meds. Thanks!!!
Glad I could help!
Wow, this was really helpful! Thank you.
Glad it was helpful!
Another medical video mentioned a study that 40% of patients still had adrenal suppression 6 months after going off the medication, and 20% had adrenal suppression 2 years(!!!) after going off the medicine! That sounds like even worse than what you mentioned at around 3:30.
Thank you for sharing this additional information. Adrenal suppression can indeed have lasting effects in some patients even after discontinuing corticosteroid medication. It's essential to highlight that individual responses to medication can vary, and healthcare providers closely monitor patients on corticosteroids to mitigate potential risks and provide appropriate care. This underscores the importance of ongoing communication between patients and their healthcare teams regarding medication management and any potential long-term effects.
I can't believe that I didn't see these videos earlier
Doctor you are great 👍
Truth be told, she did an incredible job
Thank you!
Is it true that this applies even to long-term use of inhaled corticosteroids (ie. For asthma)?
Our kids asthma specialist had us put a humidifier inside their room which we later learned contributed to mold and dust mite growth, making their asthma chronic. He also prescribed FLOVENT, a steroid inhaler at a dose 4x what it should be for our tiny daughter and it shut down her adrenal system, she nearly died in ICU before an endocrinologist figured out the cause and treatment (cortisone helped her recover over 6 months until she was ok again). This doctor should be behind bars, but he's out doing it to thousands of other kids with the full support and profit of pharma. This system is not helping us. We got our kids off of the inhalers, removed the humidifier and they've been fine since.
I'm not diagnosing other's conditions or situations but I'm a parent who nearly lost my child due to gross misuse of these drugs on my daughter.
I have serious issues from this steroid cycle I did. Jittery and shaky and hard to sleep. How can I contact someone to help read my blood work. Thanks
I underwent bilatraldrenalectomy 2 years back and I am on floricart and wysolone. Now I have put on so much weight and developed hyperpigmentation.
sorry you are experiencing those side effects
i'm a post kidney transplant patient who has been on oral prednisone for quite some time. How can i tell if my adrenal gland has been atrophied?
I would ask your nephrologist and transplant team for clarification!
What about dexamethasone 8mg single injection taken for dust allergy
How long will it effect last
When it will be reversed, i m having muscle fatigueness and stiffness and even constipation after only 1 single dexamethasone 8mg injection
Are you talking about oral corticosteroids too?Form what I’ve read they are pretty safe...
All steroids carry this risk, and the risks go up the longer you use them
I started watching thease to see if my medication might be messing with my energy levels.
This helped me realise that, indeed I should talk to my doctor.
Its been about a week on a steroid Nasal spray and I just feel dead to the world.
I hope they can figure some other solution out.
I am tapering off prednsione (from 60mg down to 8mg now). Lately I have felt very lethargic -- and that is one of the signs that perhaps I am trying to taper too quickly. My doctor also said lower than usual blood pressure is a sign of tapering too quickly. Conversely when I was on 60mg of prednisone my blood pressure (and blood sugar) were both higher than normal. That's a side effect of the steroids. Hopefully you can find the right dose / tapering schedule that works for your condition and also lets you have enough energy, and doesn't give you side effects like diabetes and osteoporosis. Good luck!
Happy to see that consulting your doctor was helpful. Always consult and communicate your doubts with your healtcare provider!
high dose vitamin c really helped me with suppression
I love her
Thank you for your comment and appreciation. Don't forget to subscribe and turn on the notifications! And if you want to go further, you can discover all the courses Lecturio has, just here: www.lecturio.com/nursing/topics/
If it were me communicating with the patient, I would also mention that the steroids are REPLACING the body's natural steroids (cortisol). I'd also mention that the body usually produces 5-7mg/day. So reducing prednisone from 60mg to 50mg (dropping 10mg) is not at all the same as reducing from 10mg to 0mg (same drop of 10mg). I would also mention to the patient symptoms to look for to know that they are reducing the steroids too quickly, such as fatigue and low blood pressure. Different patients react differently, so a tapering schedule that might work for one patient might not work for another patient. Knowing what to look for will let the patient know when to contact their doctor.
You've provided an excellent perspective on communicating about steroids with patients. It's important to highlight the replacement of the body's natural steroids (cortisol) and the significance of the dosage reduction.
Does this apply to glucorticosteroids like nasal sprays?
Nasal Sprays don't lead to systemic absorption, but the surfaces it affects can experience the symptoms such as skin thinning.
😨😨😳
Hope it helped!
steriods
Yep! Another name for them