Adrenal Insufficiency Treatment - Stress Dose Steroids
 • Large Bore IVs, ~2L IVF & Draw workup labs
 • 100mg Hydrocortisone IV x 1, 50mg q6hrs afterwards
 • Treat Adrenal Insufficiency before concurrent hypothyroidism
 • Treat underlying stressors & correct electrolyte abnormalities
Sick Day Rules
 • Mild Stressor (URI, fever, minor surgery with local anesthesia)
    - 2-3x basal for 2-3 days
 • Mod Stressor (general anesthesia surgery)
    - Hydrocortisone 45-75mg daily
 • Major Stressor (critical illness)
    - Hydrocortisone 150-200mg/day

SCVMC Internal Medicine @SCVMCMed

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