Addison's disease secondary prevention: Difference between revisions

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{{Addison's disease}}
{{Addison's disease}}
 
{{CMG}} ; {{AE}} {{ADG}}
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==Overview==
Effective measures for the secondary prevention of Addison's disease include wearing an identification bracelet stating the name of the disease to ensure proper emergency treatment during an adrenal crisis. Patients diagnosed with Addison's disease and their family members should also be educated about risks of hormone replacement therapy and dose adjustments during periods of acute illnesses. Immediate medical attention must be given when severe [[infections]], [[vomiting]], or [[diarrhea]] occur.


==Secondary Prevention==
==Secondary Prevention==
Early diagnosis and prompt management helps in addison's crisis
Effective measures for the secondary prevention of Addison's disease include:<ref name="urlAdrenal Insufficiency & Addisons Disease | NIDDK">{{cite web |url=https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease |title=Adrenal Insufficiency & Addison's Disease &#124; NIDDK |format= |work= |accessdate=}}</ref><ref name="pmid23177474">{{cite journal |vauthors=Napier C, Pearce SH |title=Autoimmune Addison's disease |journal=Presse Med |volume=41 |issue=12 P 2 |pages=e626–35 |year=2012 |pmid=23177474 |doi=10.1016/j.lpm.2012.09.010 |url=}}</ref>
*A person who has adrenal insufficiency should always carry identification stating his or her condition in case of an emergency. The card should alert emergency personnel about the need to inject 100 mg of cortisol if its bearer is found severely injured or unable to answer questions. The card should also include the doctor's name and telephone number and the name and telephone number of the nearest relative to be notified. When traveling, a needle, syringe, and an injectable form of cortisol should be carried for emergencies. A person with Addison's disease also should know how to increase medication during periods of stress or mild upper respiratory infections. Immediate medical attention is needed when severe infections, vomiting, or diarrhea occur. These conditions can precipitate an addisonian crisis. A patient who is vomiting may require injections of hydrocortisone.
*Patients diagnosed with adrenal insufficiency must always carry identification card stating the name of the disease to ensure proper treatment in case of an emergency.  
 
**The card should alert emergency personnel about the need to inject 100 mg of [[cortisol]] in situations of [[emergency]].
People with medical problems may wish to wear a descriptive warning bracelet or neck chain to alert emergency personnel. A number of companies manufacture medical identification products.
**The card should also include the doctor's name and telephone number and the name and telephone number of the nearest relative to be notified.  
*When traveling, a needle, syringe, and an injectable form of [[cortisol]] should be carried for emergencies.  
*Patients diagnosed with Addison's disease should know how to increase medication during periods of stress or mild [[upper respiratory infections]].  
*Immediate medical attention is needed when severe [[infections]], [[vomiting]], or [[diarrhea]] occur. These conditions can precipitate an Addisonian crisis.
*Patients, diagnosed with Addison's disease, who is [[vomiting]] may require injections of [[hydrocortisone]].


==References==
==References==

Latest revision as of 20:19, 11 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Effective measures for the secondary prevention of Addison's disease include wearing an identification bracelet stating the name of the disease to ensure proper emergency treatment during an adrenal crisis. Patients diagnosed with Addison's disease and their family members should also be educated about risks of hormone replacement therapy and dose adjustments during periods of acute illnesses. Immediate medical attention must be given when severe infections, vomiting, or diarrhea occur.

Secondary Prevention

Effective measures for the secondary prevention of Addison's disease include:[1][2]

  • Patients diagnosed with adrenal insufficiency must always carry identification card stating the name of the disease to ensure proper treatment in case of an emergency.
    • The card should alert emergency personnel about the need to inject 100 mg of cortisol in situations of emergency.
    • The card should also include the doctor's name and telephone number and the name and telephone number of the nearest relative to be notified.
  • When traveling, a needle, syringe, and an injectable form of cortisol should be carried for emergencies.
  • Patients diagnosed with Addison's disease should know how to increase medication during periods of stress or mild upper respiratory infections.
  • Immediate medical attention is needed when severe infections, vomiting, or diarrhea occur. These conditions can precipitate an Addisonian crisis.
  • Patients, diagnosed with Addison's disease, who is vomiting may require injections of hydrocortisone.

References

  1. "Adrenal Insufficiency & Addison's Disease | NIDDK".
  2. Napier C, Pearce SH (2012). "Autoimmune Addison's disease". Presse Med. 41 (12 P 2): e626–35. doi:10.1016/j.lpm.2012.09.010. PMID 23177474.

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