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Patient Case CC: Hypotensive with Fevers & NV, History of Addison's Disease - #MEDIGRAM

Updated: May 8

Welcome to the #MEDIGRAM Patient Case: Chief Compliant Series. Short, concise patient cases to foster thought-provoking questions and to challenge you to ask questions! Make sure to by at the end of the week for explanations for the correct/incorrect answers.

 

Adrenal crisis hydrocortisone dosing patient case

What does of hydrocortisone should be given for adrenal crisis?

  • Hydrocortisone 25 mg

  • Hydrocortisone 50 mg

  • Hydrocortisone 75 mg

  • Hydrocortisone 100 mg


 

🐛 32yoF (NKMA) presents hypotensive with fever and NV x 2 days. Hx of Addison’s Disease. BMP - Na: 129 mEq/L (low), K: 5.2 mEq/L (high), Glucose: 69 mg/dL (low).



📭 What dose of hydrocortisone (HCT) should be given for adrenal crisis?



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