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==Overview== | ==Overview== | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
Acute adrenal insufficiency is fatal. When patients with adrenal insufficiency experience the following stress, they must be very careful. | |||
* Surgery: People who are not currently taking glucocorticoids but who have taken long-term glucocorticoids in the past year, and people with chronic adrenal insufficiency should tell their doctor before surgery. These patients must be treated with intravenous glucocorticoids and saline before surgery and continues until the patient is fully awake after surgery and able to take medication by mouth. | |||
* Illness: Patients with adrenal insufficiency should know the essentiality of increasing medication during such periods of stress. During illness, oral dosing of glucocorticoid needs to be adjusted to mimic the normal response of the adrenal glands on the body. When significant [[fever]] or [[injury]] happen, the patients may require triple oral dosing. Once recovery from the stress event, doses can be returned to maintenance levels. Be careful, when the conditions of severe [[infection]]s, [[vomiting]], or [[diarrhea]] occur, these signs suggest the possibility of [[addisonian crisis]]. | * Illness: Patients with adrenal insufficiency should know the essentiality of increasing medication during such periods of stress. During illness, oral dosing of glucocorticoid needs to be adjusted to mimic the normal response of the adrenal glands on the body. When significant [[fever]] or [[injury]] happen, the patients may require triple oral dosing. Once recovery from the stress event, doses can be returned to maintenance levels. Be careful, when the conditions of severe [[infection]]s, [[vomiting]], or [[diarrhea]] occur, these signs suggest the possibility of [[addisonian crisis]]. | ||
* Pregnancy: If [[nausea]] and [[vomiting]] in early pregnant woman with adrenal insufficiency interfere with taking medication by mouth, injections of the hormone may be necessary. During delivery, treatment is similar to that of people needing surgery. | * Pregnancy: If [[nausea]] and [[vomiting]] in early pregnant woman with adrenal insufficiency interfere with taking medication by mouth, injections of the hormone may be necessary. During delivery, treatment is similar to that of people needing surgery. | ||
Revision as of 18:30, 27 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Secondary Prevention
Acute adrenal insufficiency is fatal. When patients with adrenal insufficiency experience the following stress, they must be very careful.
- Surgery: People who are not currently taking glucocorticoids but who have taken long-term glucocorticoids in the past year, and people with chronic adrenal insufficiency should tell their doctor before surgery. These patients must be treated with intravenous glucocorticoids and saline before surgery and continues until the patient is fully awake after surgery and able to take medication by mouth.
- Illness: Patients with adrenal insufficiency should know the essentiality of increasing medication during such periods of stress. During illness, oral dosing of glucocorticoid needs to be adjusted to mimic the normal response of the adrenal glands on the body. When significant fever or injury happen, the patients may require triple oral dosing. Once recovery from the stress event, doses can be returned to maintenance levels. Be careful, when the conditions of severe infections, vomiting, or diarrhea occur, these signs suggest the possibility of addisonian crisis.
- Pregnancy: If nausea and vomiting in early pregnant woman with adrenal insufficiency interfere with taking medication by mouth, injections of the hormone may be necessary. During delivery, treatment is similar to that of people needing surgery.