Adrenal insufficiency secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There are no established measures for the secondary prevention of [disease name].
OR
Effective measures for the secondary prevention of [disease name] include [strategy 1], [strategy 2], and [strategy 3].
Secondary Prevention
There are no established measures for the secondary prevention of adrenal insufficiency. However, adrenal crisis is a major cause of death in patients with adrenal insufficiency. Measures to prevent the development of adrenal crisis in patients with adrenal insufficiency include: [1]
- Educate the patient and family to increase the dose of hydrocortisone during psychological stress, physical exercise, illness, undergoing a procedure.
- Educate the patient to adjust the dose of hydrocortisone during shift to time of wakefulness.
- Educate the patient to increase fludrocortisone dose (by 0.1-0.2 mg) or salt intake in hot climate.
- Educate the patient to always carry hydrocortisone emergency kit and self administration.
- Advice to carry 'steroid emergency card'/ medical emergency bracelets for early identification and treatment of adrenal crisis.
References
- ↑ Dineen, Rosemary; Thompson, Christopher J; Sherlock, Mark (2019). "Adrenal crisis: prevention and management in adult patients". Therapeutic Advances in Endocrinology and Metabolism. 10: 204201881984821. doi:10.1177/2042018819848218. ISSN 2042-0188.