Addison's disease Flashcards
1
Q
what electrolyte abnormalities can be found in patients with addison’s?
A
hyponatraemia hyperkalaemia hypercalcaemia hypoglycaemia metabolic acidosis
2
Q
how is addison’s disease managed?
A
hydrocortisone 20-30 mg per day
given in 2-3 doses with majority given in the morning
fludrocortisone 50-300mg per day
dihydroepiandrogesterone sulphate (DHES)
3
Q
during illness, how is a patients medication for addison’s managed?
A
glucocorticoids should be doubled
4
Q
what is the management for addisonian crisis?
A
hydrocortisone sodium succinate / phosphate 100mg (50-100mg children > 6yrs)
fluid (add 5% dextrose to normal saline for glucose control)
don’t require fludrocortisone as high dose hydrocortisone has mineralocorticoid affect
