Adrenal Crisis
Adrenal crisis can occur in folks with adrenal insufficiency exposed to significant stress, including infection, trauma, surgery, and even pregnancy.
Epidemiology
Signs and Symptoms
- hypotension, shock
- dehydration
- fever
- GI
- weakness, apathy, confusion, decreased LOC, coma
- hypoglycemia
- hyponatremia, hyperkalemia
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Diagnosis
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Pathophysiology
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Causes and Risk Factors
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Treatments
Adrenal crisis is an emergency - treat as soon as it is suspected!
5 S's
- salt, sugar, steroids, support, and search for precipitating illness
volume replacement with D5W
give 100 mg hydrocortisone IV Q6H
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Course
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Patient Education
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Community Resources
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