CEU 2014 San Francisco Flashcards
0
Q
How high does the daily hydrocortisone dose need to be to no longer need fludrocortisone in Addison’s disease?
A
Greater than 50 mg per day.
1
Q
What should you do to the hydrocortisone dose in patients with adrenal insufficiency who have thyrotoxicosis?
A
Increase the hydrocortisone dose.
2
Q
Does dexamethasone have any mineralocorticoid activity?
A
No
3
Q
Is adrenal crisis more common in primary or secondary adrenal failure?
A
Primary (Addison’s disease).
4
Q
How much should a patient with adrenal insufficiency increase their steroid dose when they are undergoing a colonoscopy?
A
They will need stress dose steroids.
5
Q
What are the two main ways to administer stress dose hydrocortisone?
A
- 50 mg q6h (either PO, IM or IV).
- 200 mg/24 hour continuous infusion.
