ELNEC 4 Symptom Management In Palliative Care Practice Test

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Besides appetite, what are potential roles of corticosteroids in symptom management?
Correct Answer:
They can help reduce edema and airway obstruction, provide palliative effects on energy and nausea in some cases, with adverse effects including hyperglycemia, fluid retention, and insomnia.
Explanation:
Steroids in palliative care can relieve several symptoms beyond appetite by their anti-inflammatory and anti-edema effects. They can reduce swelling around tumors or in tissues that narrow airways, which helps improve breathing and can lessen airway obstruction. They may also boost energy and mood for some patients and help reduce nausea, especially when nausea is related to inflammation, brain or abdominal edema, or other inflammatory processes. These benefits often emerge within a short time after starting a short course. Be mindful of potential downsides, such as higher blood glucose, fluid retention or edema, and insomnia or mood changes. While long-term steroid use can affect bones, the main palliative roles discussed here center on symptom relief rather than bone density concerns.

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