Treatments for Addisonian crisis
Treatments for Addisonian crisis
The list of treatments mentioned in various sources
for Addisonian crisis
includes the following list.
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or change in treatment plans.
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Discussion of treatments for Addisonian crisis:
Addison's Disease: NIDDK (Excerpt)
In patients suspected of having an addisonian crisis, the doctor must
begin treatment with injections of salt, fluids, and glucocorticoid
hormones immediately. Although a reliable diagnosis is not possible while
the patient is being treated, measurement of blood ACTH and cortisol
during the crisis and before glucocorticoids are given is sufficient to
make the diagnosis. Once the crisis is controlled and medication has been
stopped, the doctor will delay further testing for up to 1 month to obtain
an accurate diagnosis.
(Source: excerpt from Addison's Disease: NIDDK)
Addison's Disease: NIDDK (Excerpt)
During an addisonian crisis, low blood pressure, low blood sugar, and
high levels of potassium can be life threatening. Standard therapy
involves intravenous injections of hydrocortisone, saline (salt water),
and dextrose (sugar). This treatment usually brings rapid improvement.
When the patient can take fluids and medications by mouth, the amount of
hydrocortisone is decreased until a maintenance dose is achieved. If
aldosterone is deficient, maintenance therapy also includes oral doses of
fludrocortisone acetate.
(Source: excerpt from Addison's Disease: NIDDK)
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Book Excerpts: Treatment of Addisonian crisis
Treatments of Addisonian crisis: Online Medical Books
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Adrenal crisis:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Replacement of corticosteroids, I.V. fluids, potassium, insulin
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Adrenal hypofunction:
Treatment
(Professional Guide to Diseases (Eighth Edition))
For all patients with primary or secondary adrenal hypofunction, corticosteroid replacement, usually with cortisone or hydrocortisone (both of which also have a mineralocorticoid effect), is the primary treatment and must continue throughout life. Adrenal hypofunction may also necessitate treatment with I.V. desoxycorticosterone, a pure mineralocorticoid, or oral fludrocortisone, a synthetic mineralocorticoid; both prevent dangerous dehydration and hypotension.
Adrenal crisis requires prompt I.V. bolus administration of hydrocortisone. Later, doses are given I.M. or are diluted with dextrose in saline solution and given I.V. until the patient’s condition stabilizes.
With proper treatment, adrenal crisis usually subsides quickly; the patient’s blood pressure should stabilize, and water and sodium levels should return to normal. After the crisis, maintenance doses of hydrocortisone preserve physiologic stability.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Hypertensive crisis:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Nitroprusside, nitroglycerin, diazoxide, hydralazine, methyldopa
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Adrenal hypofunction:
Treatment
(Handbook of Diseases)
For all patients with primary or secondary adrenal hypofunction, lifelong corticosteroid replacement, usually with cortisone or hydrocortisone (both of which also have a mineralocorticoid effect) is the primary treatment.
For patients with Addison’s disease, treatment with oral fludrocortisone, a synthetic mineralocorticoid, is necessary to prevent dangerous dehydration, hypotension, and electrolyte disturbances with hyponatremia and hyperkalemia. (See Avoiding adrenal crisis.)
For those with adrenal crisis, prompt I.V. bolus administration of 100 mg of hydrocortisone is key. Later, 50- to 100-mg doses are given I.M. or are diluted with dextrose in saline solution and given I.V. until the patient’s condition stabilizes; up to 300 mg/day of hydrocortisone and 3 to 5 L of I.V. saline solution are required during the acute stage of adrenal crisis.
With proper treatment, adrenal crisis usually subsides quickly; the patient’s blood pressure stabilizes, and water and sodium levels return to normal. After the crisis, maintenance doses of hydrocortisone preserve physiologic stability.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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