| |
- Adrenal crisis: Hydrocortisone injection (Solu-Cortef) 100 mg/m2 (max. 100 mg) IV/IM stat with saline volume expansion, followed by 25 mg/m2 q 6 hours (max. 25 mg q 6 hours); call endocrinologist on call
|
| |
- Surgery: Hydrocortisone injection (Solu-Cortef) 50-100 mg/m2 IV (max 100 mg) pre-operatively, then 25 mg/m2 q 6 hours (max 25 mg q 6 hours); call endocrinologist on call
|
| |
- Illness or fever: 20 mg/m2/day hydrocortisone equivalent, divided BID or TID
|
| |
- Fever >38.5oC or vomiting: 30 mg/m2/day hydrocortisone equivalent, divided TID
|
| |
- Unable to tolerate orally: Hydrocortisone must be administered parenterally as Solu-Cortef, 25 mg/m2/dose q 6 hours IV or q 8 hours IM
|
|
2.
|
± Daily physiologic dose of hydrocortisone (8-10 mg/m
2
/day)
|
|
3.
|
Family education
|
| |
- Stress steroid dosing
|
| |
- Emergency medical contact information in case of illness
|
|
4.
|
Information card/Medic-Alert bracelet
|
