A 35-year-old with Addison's disease (primary adrenal insufficiency) on long-term steroid replacement attends with symptoms suggestive of adrenal cris...

Question

A 35-year-old with Addison's disease (primary adrenal insufficiency) on long-term steroid replacement attends with symptoms suggestive of adrenal crisis (vomiting, hypotension). What is the immediate step in management?

Accepted Answer

Give IV normal saline and IV hydrocortisone

Answer

Give IV 5% dextrose infusion only

Answer

Obtain cortisol levels and wait for results before treatment

Answer

Administer fludrocortisone alone

Answer

Give a single dose of intramuscular hydrocortisone and discharge

ukmla MCQ (SBA): Addison's disease

A 35-year-old with Addison's disease (primary adrenal insufficiency) on long-term steroid replacement attends with symptoms suggestive of adrenal crisis (vomiting, hypotension). What is the immediate step in management?