Steroids |
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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
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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
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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?
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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
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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.
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