Acute Adrenal Insufficiency - Revision history

Treloars at 13:00, 24 April 2020

2020-04-24T13:00:35Z

← Older revision		Revision as of 13:00, 24 April 2020
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	** For patient’s confirmed to have Acute Adrenal Insufficiency by either the presence of a medical alert bracelet, designation of medical records or other patient, family or medical confirmation.		** For patient’s confirmed to have Acute Adrenal Insufficiency by either the presence of a medical alert bracelet, designation of medical records or other patient, family or medical confirmation.
	*** Assist with administration of patient’s Solu-Cortef if present		*** Assist with administration of patient’s Solu-Cortef if present
	*** If Solu-Cortef not available, administer [[~~Corticosteroids~~\|Solu-Medrol]] 125 mg slow IV push		*** If Solu-Cortef not available, administer [[Solu-Medrol\|Solu-Medrol]] 125 mg slow IV push

	[[Category:Medical\|0522]]		[[Category:Medical\|0522]]

Treloars at 18:29, 7 September 2018

2018-09-07T18:29:22Z

← Older revision		Revision as of 18:29, 7 September 2018
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	*** Assist with administration of patient’s Solu-Cortef if present		*** Assist with administration of patient’s Solu-Cortef if present
	*** If Solu-Cortef not available, administer [[Corticosteroids\|Solu-Medrol]] 125 mg slow IV push		*** If Solu-Cortef not available, administer [[Corticosteroids\|Solu-Medrol]] 125 mg slow IV push

			[[Category:Medical\|0522]]

Treloars: Treloars moved page Acute Adrenal Insufficiency - DRAFT to Acute Adrenal Insufficiency

2018-06-27T14:04:10Z

Treloars moved page Acute Adrenal Insufficiency - DRAFT to Acute Adrenal Insufficiency

← Older revision	Revision as of 14:04, 27 June 2018
(No difference)

Treloars: Created page with "==Section 5 -MEDICAL== ===5.22 ACUTE ADRENAL INSUFFICIENCY=== Adrenal insufficiency or Addison’s disease is an endocrine disorder that occurs when the adrenal glands do not..."

2018-02-28T19:30:47Z

Created page with "==Section 5 -MEDICAL== ===5.22 ACUTE ADRENAL INSUFFICIENCY=== Adrenal insufficiency or Addison’s disease is an endocrine disorder that occurs when the adrenal glands do not..."

New page

==Section 5 -MEDICAL==
===5.22 ACUTE ADRENAL INSUFFICIENCY===

Adrenal insufficiency or Addison’s disease is an endocrine disorder that occurs when the adrenal glands do not produce sufficient amounts of cortisol and other glucocorticoid hormones needed to respond to stress and inflammatory reactions and needed to re-establish homeostasis after a stress response.

Early signs and symptoms of patients in acute adrenal crisis include pallor, dizziness, headache, weakness/lethargy, abdominal pain, nausea/vomiting and hypoglycemia. If left untreated, symptoms may progress to hypotension, shock, seizures and eventual heart failure.

'''TREATMENT'''
* Airway/breathing management
** Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
* Initiate cardiac monitoring;
** Record and evaluate 12 lead ECG strip
* Establish IV Access
** If indicated (i.e. tachycardia, hypotension), 20 ml/kg normal saline to maintain systolic BP of 90 mmHg.
** Monitor for evidence of fluid overload
* Determine Blood Glucose Level
* Assess temperature
* Treatment based on identification, assessment and patient’s level of distress
** For patient’s confirmed to have Acute Adrenal Insufficiency by either the presence of a medical alert bracelet, designation of medical records or other patient, family or medical confirmation.
*** Assist with administration of patient’s Solu-Cortef if present
*** If Solu-Cortef not available, administer [[Corticosteroids|Solu-Medrol]] 125 mg slow IV push