Adrenal crisis

Question 1

Triggers of adrenal crisis

Answer 1

1. hypotension and shock
2. fever
3. severe abdominal pain, vomitting and diarrhea

Question 2

clinical features

Answer 2

1. long term steroid use/abrupt stopping

2. stress - infection/trauma/surergy

Question 3

lab test - results

Answer 3

1. lowsodium
2. low potassium
3. hypoglycaemia

Question 4

Mx - first two steps of Mx

Answer 4

1. IV crystalloid fluids

2. IV hydrocortisone

Question 5

Mx - steps 3 + 4

Answer 5

1. correct hypoglycaemia - 10% dextrose

2. correct electrolyte abnormalities

Question 6

Mx - step 5

Answer 6

Septic screen - Iv abx any sepsis suspected