Welcome to the #MEDSHED! Needing a brief, concise review of clinical pharmacotherapy and disease management? Direct links of reference to content discussed? Look no further than the #MEDSHED series based on infographics and carousel presentations!
💀 Adrenal Crisis - #MEDSHED
🌊 Pathogenesis
Adrenal crisis is a life-threatening medical emergency secondary to adrenal insufficiency (lack of gluco- or mineralcorticoid secretion from adrenal cortex)
Primary: failure of adrenal gland
Autoimmune, infection, genetic, etc.
Secondary: impaired stimulation via ACTH or CRH
Tumor, iatrogenic, vascular, etc.
Adrenal crisis should be treated with strong clinical suspicion rather than waiting for confirmatory labs
👀 Treatment
Address underlying/precipitating etiology
Corticosteroid non-compliance, infections, infarcts, drug-induced, etc.
Fluid resuscitation
Reverse volume depletion and Na deficiency
NS (Na 154 mEq/L) or LR (Na 130 mEq/L)
Risk of osmotic demyelination syndrome (ODS) with overcorrection of severely low Na
Corticosteroid replacement
Hydrocortisone 100 mg IV/IM, then 50 mg IV/IM every 6 hours until patient can tolerate orals
Avoid dexamethasone since it doesn’t have mineralcorticoid properties
🔮 Website: www.pharmwyze.com
Shop: www.pharmwyze.com/shop
Donate $5: www.pharmwyze.com//_paylink/AY78_L7r
Social Links: links.pharmwyze.com
DrugQueryInbox Request: https://pharmwyze.hopp.to/drugqueryinbox
Streaming Platforms: https://pharmwyze.hopp.to/podstreams
Patreon: www.patreon.com/pharmwyze
Paypal Donation: https://pharmwyze.hopp.to/paypaldonate
PHARMWYZE SITREP Newsletter: https://www.pharmwyze.com/sitrepnewsletter
Not medical advice. Educational purposes only. No relationships to report.
#emergency #ems #pharmacy #nursing #pharmacist #medicine #doctor #infection #toxicology #clinicalpearls #respiratory #dermatology #urology #nurse #cardiology #antibiotics #neurology #acs #pharmwyze #codebluedebrief #overdose #pharmacology #pharmacisst #meded #foamed #medshed #pharmacystudent #trauma #healthcare
Comments