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{{ | {{Secondary adrenal insufficiency}} | ||
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==Overview== | |||
Effective measures for the [[secondary prevention]] of secondary adrenal insufficiency include patient and family members education about risks of [[hormone replacement therapy]] and dose adjustments during periods of acute illnesses. [[Asymptomatic]] patients can also wear an identification bracelet stating the name of the disease to ensure proper emergency treatment during an [[adrenal crisis]]. | |||
==Secondary Prevention== | ==Secondary Prevention== | ||
Effective measures for the secondary prevention of secondary adrenal insufficiency include: | |||
* Patient and family members involved in patient care should be properly educated about risks of [[hormone replacement therapy]].<ref name="pmid24766944">{{cite journal |vauthors=Tucci V, Sokari T |title=The clinical manifestations, diagnosis, and treatment of adrenal emergencies |journal=Emerg. Med. Clin. North Am. |volume=32 |issue=2 |pages=465–84 |year=2014 |pmid=24766944 |doi=10.1016/j.emc.2014.01.006 |url=}}</ref><ref name="pmid24755997">{{cite journal |vauthors=Napier C, Pearce SH |title=Current and emerging therapies for Addison's disease |journal=Curr Opin Endocrinol Diabetes Obes |volume=21 |issue=3 |pages=147–53 |year=2014 |pmid=24755997 |doi=10.1097/MED.0000000000000067 |url=}}</ref> | |||
* Patient should also be educated about dose adjustments during [[acute illnesses]].<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><ref name="pmid22907517">{{cite journal |vauthors=Quinkler M |title=[Addison's disease] |language=German |journal=Med Klin Intensivmed Notfmed |volume=107 |issue=6 |pages=454–9 |year=2012 |pmid=22907517 |doi=10.1007/s00063-012-0112-3 |url=}}</ref> | |||
* [[Asymptomatic]] patients can also wear an identification bracelet stating the name of the disease to ensure proper emergency treatment during an [[adrenal crisis]].<ref name="pmid16259572">{{cite journal| author=Hahner S, Allolio B| title=Management of adrenal insufficiency in different clinical settings. | journal=Expert Opin Pharmacother | year= 2005 | volume= 6 | issue= 14 | pages= 2407-17 | pmid=16259572 | doi=10.1517/14656566.6.14.2407 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16259572 }} </ref> | |||
* People who have taken long-term [[glucocorticoids]] in the past should tell their doctor before surgery. These patients must be treated with intravenous [[glucocorticoids]] and [[saline]] before [[surgery]] and continue until the patient is fully awake after surgery and able to take medication by mouth. | |||
==References== | |||
{{reflist|2}} | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Effective measures for the secondary prevention of secondary adrenal insufficiency include patient and family members education about risks of hormone replacement therapy and dose adjustments during periods of acute illnesses. Asymptomatic patients can also wear an identification bracelet stating the name of the disease to ensure proper emergency treatment during an adrenal crisis.
Secondary Prevention
Effective measures for the secondary prevention of secondary adrenal insufficiency include:
- Patient and family members involved in patient care should be properly educated about risks of hormone replacement therapy.[1][2]
- Patient should also be educated about dose adjustments during acute illnesses.[3][4]
- Asymptomatic patients can also wear an identification bracelet stating the name of the disease to ensure proper emergency treatment during an adrenal crisis.[5]
- People who have taken long-term glucocorticoids in the past should tell their doctor before surgery. These patients must be treated with intravenous glucocorticoids and saline before surgery and continue until the patient is fully awake after surgery and able to take medication by mouth.
References
- ↑ Tucci V, Sokari T (2014). "The clinical manifestations, diagnosis, and treatment of adrenal emergencies". Emerg. Med. Clin. North Am. 32 (2): 465–84. doi:10.1016/j.emc.2014.01.006. PMID 24766944.
- ↑ Napier C, Pearce SH (2014). "Current and emerging therapies for Addison's disease". Curr Opin Endocrinol Diabetes Obes. 21 (3): 147–53. doi:10.1097/MED.0000000000000067. PMID 24755997.
- ↑ 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.
- ↑ Quinkler M (2012). "[Addison's disease]". Med Klin Intensivmed Notfmed (in German). 107 (6): 454–9. doi:10.1007/s00063-012-0112-3. PMID 22907517.
- ↑ Hahner S, Allolio B (2005). "Management of adrenal insufficiency in different clinical settings". Expert Opin Pharmacother. 6 (14): 2407–17. doi:10.1517/14656566.6.14.2407. PMID 16259572.