Which acronym is useful for remembering the side effects of corticosteroids?

• A. A - CUSHING - Cataracts, Ulcers, Skin thinning, Hypertension, Infection, Neoplasia, Glycosuria
• B. B - CHILLS - Chills, Headache, Insomnia, Loss of appetite, Lethargy, Sweating
• C. C - NODER - Nausea, Odema, Dyspepsia, Ear ringing, Rash
• D. D - DRUGS - Drowsiness, Restlessness, Urinary retention, GI upset, Skin rashes

Answer: (A)

The acronym A - CUSHING is particularly relevant for remembering the side effects of corticosteroids because it encapsulates the primary effects associated with prolonged corticosteroid use, which can lead to Cushing syndrome. Each letter in the acronym corresponds to a specific side effect:

• C stands for Cataracts, which can develop due to increased intraocular pressure.

• U represents Ulcers, as corticosteroids can cause gastric irritation and increase the risk of peptic ulcers.

• S signifies Skin thinning, a common occurrence due to catabolic effects on skin tissues.

• H is for Hypertension, as corticosteroids can cause fluid retention and increase blood pressure.

• I denotes Infection, since corticosteroids can suppress the immune response, making patients more susceptible.

• N refers to Neoplasia, which describes an increased risk of various tumors due to immune suppression.

• G stands for Glycosuria, which may occur because corticosteroids can lead to increased blood glucose levels and subsequent sugar in the urine.

This acronym effectively covers the significant and typical side effects seen in patients receiving corticosteroid therapy, making it a valuable mnemonic for healthcare professionals. Other acronyms provided in the choices focus on different symptoms or adverse effects that are not specifically tied to corticosteroid use, which makes them