↓Adrenal Insufficiency (Addison’s)
-
PO → only glucocorticoid effect
-
(+ Fludrocortisone)
-
Sick day instructions
- IV, high dose → both glucocorticoid and mineralocorticoid effect
- Start at 100 mg
- Proceed with 80 mg Q8H
- Cortisol inhibits ADH, thus administration of cortisol will also help reverse the !Hypovolemia ↓
<aside> 💡 Note: rapid reversal of Hyponatremia ↓ [Na] (<135) can cause Central Poutine demyelination (brain shrinking) → Administrate DDAVP (ADH Agonist (-”pressin”)) to slow down the reversal, or take > 48 hr
</aside>