Adrenal crisis - Revision history

Danbot: Embed Steroid_Conversion_Calculator on clinical page

2026-03-22T09:56:21Z

Embed Steroid_Conversion_Calculator on clinical page

← Revisión anterior		Revisión del 09:56 22 mar 2026
Línea 97:		Línea 97:
	*Serial electrolytes, glucose monitoring		*Serial electrolytes, glucose monitoring
	*Patient and family education on stress dosing before discharge		*Patient and family education on stress dosing before discharge

			== Calculators ==
			{{Steroid_Conversion_Calculator}}

	==See Also==		==See Also==

Danbot: Strip excess bold

2026-03-22T09:27:55Z

Strip excess bold

Show changes

Testtranslate: /* Prevention */

2026-03-21T21:56:14Z

Prevention

← Revisión anterior		Revisión del 21:56 21 mar 2026
Línea 85:		Línea 85:
	*Primary AI also needs '''fludrocortisone 0.05-0.1 mg PO daily''' (mineralocorticoid replacement)		*Primary AI also needs '''fludrocortisone 0.05-0.1 mg PO daily''' (mineralocorticoid replacement)

	==Prevention==		===Prevention===
	*'''Medical alert bracelet''' for all patients with adrenal insufficiency		*'''Medical alert bracelet''' for all patients with adrenal insufficiency
	*'''Sick day rules''': '''double or triple''' oral glucocorticoid dose during illness		*'''Sick day rules''': '''double or triple''' oral glucocorticoid dose during illness

Testtranslate: /* Prevention= */

2026-03-21T21:55:04Z

Prevention=

← Revisión anterior		Revisión del 21:55 21 mar 2026
Línea 85:		Línea 85:
	*Primary AI also needs '''fludrocortisone 0.05-0.1 mg PO daily''' (mineralocorticoid replacement)		*Primary AI also needs '''fludrocortisone 0.05-0.1 mg PO daily''' (mineralocorticoid replacement)

	==Prevention===		==Prevention==
	*'''Medical alert bracelet''' for all patients with adrenal insufficiency		*'''Medical alert bracelet''' for all patients with adrenal insufficiency
	*'''Sick day rules''': '''double or triple''' oral glucocorticoid dose during illness		*'''Sick day rules''': '''double or triple''' oral glucocorticoid dose during illness

Danbot: Major update: hydrocortisone 100mg IV protocol, HPA suppression from chronic steroids, Waterhouse-Friderichsen, cortisol interpretation, sick day rules, stress dosing, prevention education, references with PMIDs

2026-03-21T20:02:33Z

Major update: hydrocortisone 100mg IV protocol, HPA suppression from chronic steroids, Waterhouse-Friderichsen, cortisol interpretation, sick day rules, stress dosing, prevention education, references with PMIDs

Show changes

Danbot: Add Steroid_Conversion_Calculator to page

2026-03-21T16:32:19Z

Add Steroid_Conversion_Calculator to page

← Revisión anterior		Revisión del 16:32 21 mar 2026
Línea 127:		Línea 127:
	*[[Congenital Adrenal Hyperplasia]]		*[[Congenital Adrenal Hyperplasia]]
	*[[Addison's disease]]		*[[Addison's disease]]

			== Calculators ==
			{{Steroid_Conversion_Calculator}}

	==External Links==		==External Links==

Danbot: Add MedicationDose SMW annotations (hydrocortisone, dexamethasone); dosing verified per endocrine emergency guidelines

2026-03-20T16:22:02Z

Add MedicationDose SMW annotations (hydrocortisone, dexamethasone); dosing verified per endocrine emergency guidelines

← Revisión anterior		Revisión del 16:22 20 mar 2026
Línea 118:		Línea 118:
	**Consult endocrinology if discharge considered for mild cases w/ normal lab values		**Consult endocrinology if discharge considered for mild cases w/ normal lab values


			<div style="display:none">
			<!-- SMW MedicationDose annotations for adrenal crisis medications -->
			{{MedicationDose\|drug=Hydrocortisone\|dose=2 mg/kg (up to 100 mg) IV bolus\|route=IV\|context=1st line corticosteroid (provides gluco- and mineralocorticoid)\|indication=Adrenal crisis\|notes=Drug of choice if K+ >6; provides both glucocorticoid and mineralocorticoid effects}}
			{{MedicationDose\|drug=Dexamethasone\|dose=4 mg IV bolus\|route=IV\|context=Alternative corticosteroid (does not interfere with ACTH stim test)\|indication=Adrenal crisis\|notes=Negligible mineralocorticoid effect; choose hydrocortisone instead if hypotension, hyponatremia, or hyperkalemia}}
			</div>
	==See Also==		==See Also==
	*[[Congenital Adrenal Hyperplasia]]		*[[Congenital Adrenal Hyperplasia]]

Rossdonaldson1: /* Differential Diagnosis */

2024-02-14T16:37:02Z

Differential Diagnosis

← Revisión anterior		Revisión del 16:37 14 feb 2024
Línea 65:		Línea 65:

	==Differential Diagnosis==		==Differential Diagnosis==
			{{Adrenal crisis ddx}}
	{{Shock DDX}}		{{Shock DDX}}

Rossdonaldson1: /* Background */

2024-02-14T16:36:24Z

Background

← Revisión anterior		Revisión del 16:36 14 feb 2024
Línea 1:		Línea 1:
	==Background==		==Background==
	[[File:Gray1120-adrenal glands.png\|thumb\|Posterior view of the adrenal glands (colored) in relation to the viscera and large vessels of the abdomen (thoracic vertebra removed).]]		[[File:Gray1120-adrenal glands.png\|thumb\|Posterior view of the adrenal glands (colored) in relation to the viscera and large vessels of the abdomen (thoracic vertebra removed).]]
	[[File:HPA axis combined.jpg\|thumb\|Types of adrenal insufficiency (primary, secondary, and tertiary) compared to normal physiology.]]		[[File:HPA axis combined.jpg\|thumb\|Types of adrenal insufficiency (primary, secondary, and tertiary) compared to normal physiology. In its normal state, the hypothalamus secretes corticotropin-releasing hormone (CRH) to induce the pituitary gland to secrete adrenocorticotropic hormone (ACTH) to induce the adrenal gland to secrete cortisol. Cortisol then exerts negative feedback by inhibiting the secretion of CRH and ACTH in the hypothalamus and pituitary gland, respectively.]]
	*Adrenal insufficiency occurs when the adrenal glands fail to supply the physiologic demands of the body for glucocorticoids (cortisol) and/or mineralocorticoids (aldosterone).		*Adrenal insufficiency occurs when the adrenal glands fail to supply the physiologic demands of the body for glucocorticoids (cortisol) and/or mineralocorticoids (aldosterone).
	*Divided into primary adrenal insufficiency or secondary adrenal insufficiency		*Divided into primary adrenal insufficiency or secondary adrenal insufficiency

Rossdonaldson1: /* Background */

2024-02-14T16:35:09Z

Background

← Revisión anterior		Revisión del 16:35 14 feb 2024
Línea 1:		Línea 1:
	==Background==		==Background==
	[[File:Gray1120-adrenal glands.png\|thumb\|Posterior view of the adrenal glands (colored) in relation to the viscera and large vessels of the abdomen (thoracic vertebra removed).]]		[[File:Gray1120-adrenal glands.png\|thumb\|Posterior view of the adrenal glands (colored) in relation to the viscera and large vessels of the abdomen (thoracic vertebra removed).]]
			[[File:HPA axis combined.jpg\|thumb\|Types of adrenal insufficiency (primary, secondary, and tertiary) compared to normal physiology.]]
	*Adrenal insufficiency occurs when the adrenal glands fail to supply the physiologic demands of the body for glucocorticoids (cortisol) and/or mineralocorticoids (aldosterone).		*Adrenal insufficiency occurs when the adrenal glands fail to supply the physiologic demands of the body for glucocorticoids (cortisol) and/or mineralocorticoids (aldosterone).
	*Divided into primary adrenal insufficiency or secondary adrenal insufficiency		*Divided into primary adrenal insufficiency or secondary adrenal insufficiency