GENERAL HISTOLOGY

ENDOCRINE SYSTEM

ADRENAL

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What is the definitive treatment for adrenal crisis?
A
High doses of glucocorticoids
B
Administration of fluids and electrolytes
C
Empirical administration of antibiotics
D
Administration of mineralocorticoids
Explanation: 

Detailed explanation-1: -Studies suggest a 100mg IV bolus of hydrocortisone is the first line for glucocorticoid replacement. If that is not available, another glucocorticoid such as dexamethasone can be substituted, but dexamethasone does not have a secondary mineralocorticoid action as hydrocortisone does.

Detailed explanation-2: -Treatment. In adrenal crisis, an intravenous or intramuscular injection of hydrocortisone (an injectable corticosteroid) must be given immediately. Supportive treatment of low blood pressure with intravenous fluids is usually necessary. Hospitalization is required for adequate treatment and monitoring.

Detailed explanation-3: -The immediate hormonal treatment is the administration of hydrocortisone. The initial dose for adrenal crisis is 100 mg IV bolus, followed by 50 to 100 mg IV every 6 hours over 24 hours.

Detailed explanation-4: -Medicine for Addison’s disease Treatment usually involves corticosteroid (steroid) replacement therapy for life. Corticosteroid medicine is used to replace the hormones cortisol and aldosterone that your body no longer produces.

Detailed explanation-5: -Get the right amount of sleep. Prioritizing your sleep may be an effective way to reduce cortisol levels. Exercise, but not too much. Learn to recognize stressful thinking. Breathe. Have fun and laugh. Maintain healthy relationships. Take care of a pet. Be your best self. More items

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