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adrenal insufficiency..

approach .. page

Adrenal crisis
- IV. resuscitate 2-3 lit of 5% DNSS
- Hydrocortisone 100 mg IV q 8 hr
- F/U V/S and volume status
- steroid
status
Minor stress
-
glucocorticoid 2-3
-
mineralocorticoid



- : Prednisolone 10-20 ./ maintenance

- : Hydrocortisone 100 mg IV q 8 hr. maintenance

- Local anesthesia:

- (stress ) eg. angiogram, endoscope: Hydrocortisone 100 mg IV

: Hydrocortisone 100 mg OR 50 mg 8 hr
: Hydrocortisone 50 mg OR 25 mg 8 hr maintenance
Maintenance
- Glucocorticoid therapy
1. Dexamethasone 0.5-0.75 .
2. Prednisolone 5-7.5 .
3. Hydrocortisone 15-20 .
5-10 .
- Mineralocorticoid (primary AI)
- Fludrocortisone 0.1-0.2 . BP, electrolyte, PRA

postural hypotension hyperkalemia glucocorticoid