A 54-year-old man on long-term prednisolone for adrenal insufficiency collapses with vomiting and hypotension after gastroenteritis. What is the immed...

Question

A 54-year-old man on long-term prednisolone for adrenal insufficiency collapses with vomiting and hypotension after gastroenteritis. What is the immediate management in suspected adrenal crisis?

Accepted Answer

IV hydrocortisone 100 mg and IV fluids urgently

Answer

Oral hydrocortisone 20 mg and fluids

Answer

IV dexamethasone 4 mg only

Answer

IM adrenaline 0.5 mg

Answer

Delay steroids until 9 am cortisol result

mrcp part 1 MCQ (SBA): Adrenal Crisis

A 54-year-old man on long-term prednisolone for adrenal insufficiency collapses with vomiting and hypotension after gastroenteritis. What is the immediate management in suspected adrenal crisis?