Addisonian crisis
- Created by: MazzaW
- Created on: 13-11-19 16:30
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- Addisonian crisis
- Aetiology
- chronically adrenally suppressed
- long term steroids
- Addison's disease
- increased need
- infection
- injury
- MI
- Vomiting and diarrhoea
- pregnancy
- allergic reaction
- Withdrawal of steroids
- Vomiting and diarrhoea
- Lack of prescribing
- acute admission
- chronically adrenally suppressed
- Symptoms
- Thirst
- Hypotension
- tachycardia
- dehydration
- malaise
- fever
- nausea and vomiting
- abdominal pain
- muscle pains and cramps
- Endocrine abnormalities
- hypo-natraemia
- hypo-glycaemia
- hyper-kalaemia
- Urgent ECG
- Risk of arrhythmias and arrest
- may have hypo-calcaemia
- raised creatinine
- Management
- ABCDE
- IV fluids
- IV hydro-cortisone
- 100mg (adults)
- Urgent admission
- Continuous ECG and electrolyte monitoring
- Following initial resus, needs IV fluid with hydro-cortisone and dextrose
- Treat underlying disorder
- Aetiology
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