A 68-year-old woman on long-term prednisolone 10mg daily for polymyalgia rheumatica is scheduled for a hip replacement surgery. According to BNF guida...

Question

A 68-year-old woman on long-term prednisolone 10mg daily for polymyalgia rheumatica is scheduled for a hip replacement surgery. According to BNF guidance, what is the recommended peri-operative steroid cover?

Accepted Answer

Administer IV hydrocortisone 100mg with anaesthetic induction

Answer

Double her usual dose on the day of surgery

Answer

No additional cover needed

Answer

Administer IV hydrocortisone 50mg 6-hourly for 24 hours

Answer

Stop prednisolone 48 hours before surgery

ukmla MCQ (SBA): Peri-operative steroid management

A 68-year-old woman on long-term prednisolone 10mg daily for polymyalgia rheumatica is scheduled for a hip replacement surgery. According to BNF guidance, what is the recommended peri-operative steroid cover?