Abstract
Adrenal insufficiency is a clinical entity associated with potentially serious findings such as hypotension, mental status changes, nausea and vomiting, hyponatremia, and/or hyperkalemia. Patients with adrenal insufficiency and some of those with suppressed hypothalamic-pituitary-adrenal (HPA) axis due to chronic glucocorticoid use are at risk for adrenal crisis, which can cause hypotension or even death. This chapter addresses supplemental steroid dosing (commonly called “stress-dose steroids”) for the prevention of adrenal crisis in patients with adrenal insufficiency undergoing surgery.
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Acknowledgments
Dr. R. Alan Failor, Clinical Professor, Department of Medicine, Division of Metabolism, Endocrinology and Nutrition, University of Washington.
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Mitchell, K.J. (2020). Stress-Dose Steroids. In: Jackson, M., Huang, R., Kaplan, E., Mookherjee, S. (eds) The Perioperative Medicine Consult Handbook. Springer, Cham. https://doi.org/10.1007/978-3-030-19704-9_14
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DOI: https://doi.org/10.1007/978-3-030-19704-9_14
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