Steroids
100
No stress dose. Continue 2mg of prednisone daily.
Mr. X has been taking 2mg of prednisone daily for 6 months for polymyalgia rheumatica. He is now planning on having a left hip arthroplasty done. The surgeons need your help in determining stress dose steroids for Mr. X. What dosing and what interval shou
200
50mg of hydrocortisone before the procedure and 25mg q8h x 24 hours. Then resume home dose.
Mrs. Z has been taking prednisone for RA for 2 years. 6 months ago her PCP began tapering her down from 20mg daily. She has currently been on 5mg for the past 2 weeks. She sustained a fall from a ladder yesterday which resulted in a right hip fracture. Wh
300
Morning cortisol level: <5 = Yes; > 10 = No; 5-10 = ACTH Stim test => >18 = No, <18 = yes
Mr. E has been taking 8mg of prednisone for 3 weeks for COPD. He presents after a mechanical fall which resulted in a left hip fracture. How should it be determined if he requires stress dose steroids?
400
3
Although the risk of perioperative adrenal crisis is likely to be low in patients with a history of previous glucocorticoid injections, a HPA axis evaluation is suggested in those who have received __?__or more intra-articular or spinal glucocorticoid inj
500
Dexamethasone
In a patient without a previous diagnosis of adrenal insufficiency, this steroid should be used as opposed to hydrocortisone as it is not measured in cortisol assays.






Peri-Operative Medication Management

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