Guidelines for Adrenal Supplementation Therapy in Patients with Adrenal Insufficiency

Purpose: To determine the corticosteroid supplementation required by a patient with adrenal insufficiency based on the magnitude of clinical stressors.

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Evaluation

Are you evaluating a patient with adrenal insufficiency?

Yes

Usual corticosteroid maintenance dose taken by the patient

Does the patient have sepsis-induced hypotension or shock?

Yes

Select the appropriate answer for each clinical stressor

Surgical procedure

Fever

Nausea and vomiting

Gastroenteritis

Pancreatitis

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Is administration of supplemental corticosteroid indicated?

Maximum single stressor magnitude

Combinatorial stressor magnitude

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Adrenal Crisis in Patient with Adrenal Insufficiency
Clinical Diagnosis, Including Family History For Genetics
- Clinical Features of Acute Adrenal Crisis (Acute Addisonian Crisis)
Criteria For Diagnosis
- Criteria for Hepatoadrenal Syndrome
- Factors to Identify Adrenal Insufficiency in Patient Being Admitted to Hospital

Therapy

Selection
- Risk Factors for Adrenal Crisis in Patient with Adrenal Insufficiency

Specialty

Endocrinology
Clinical Laboratory
Critical Care

Objective

dosage calculations

ICD-10

E27.4 - Other and unspecified adrenocortical insufficiency

Info

Purpose: To determine the corticosteroid supplementation required by a patient with adrenal insufficiency based on the magnitude of clinical stressors.

Specialty: Endocrinology, Clinical Laboratory, Critical Care

Objective: dosage calculations

ICD-10: E27.4,

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