Addisonian crisis Flashcards
1
Q
Airway
A
2
Q
Breathing
A
Look
Listen
Feel
O2, RR
XCR, ABG
3
Q
Circulation
A
Look, listen, feel
BP
HR
pulses
Gain IV acess
Bloods: FBC, U+E, LFT, venous glucose, CRP, TFTs, cortisol, ACTH
VBG: HIGH K LOW NA
5S
1. IV or IM hydrocortisone 100mg stat
2. Hydrocortisone 50mg IV QDS maintenance
IV fluids
3. IV dextrose if hypoglycaemia
4. IV fluid bolus
5. ID & treat precipitating factors
ITU support
Consider endocrinology input
4
Q
Features
A
Reduced consciousness
Hypotension
Hypoglycaemia
HyperK
HypoNa
