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    Pharmacology Exam 2 (Dallas University) Proctored Exam

    What is the correct teaching for each item below in relation to taking glucocorticoids in high doses or as long term therapy? Glucose dropdown Bone dropdown GI Tract dropdown

    Explanation & Rationale

    Rationale: • Glucose: Glucocorticoids can increase blood glucose by promoting gluconeogenesis and decreasing peripheral glucose uptake. Clients, especially those with diabetes, should monitor glucose levels closely to prevent hyperglycemia and related complications. Reporting elevated readings allows timely intervention. • Bone: Long-term glucocorticoid therapy decreases calcium absorption, inhibits osteoblast activity, and increases bone resorption, leading to osteoporosis. Weight-bearing exercises, adequate calcium and vitamin D intake, and bone density monitoring help reduce the risk of fractures and maintain bone health. • GI Tract: Glucocorticoids increase gastric acid secretion and decrease protective gastric mucus, raising the risk for gastritis and peptic ulcer disease. Taking the medication with food or milk reduces irritation, and clients should report signs of GI bleeding such as black/tarry stools or severe abdominal pain.

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