A 34-year-old man with known Addison disease presents with vomiting, hypotension (BP 80/50 mmHg), abdominal pain and confusion after a gastrointestina...

Question

A 34-year-old man with known Addison disease presents with vomiting, hypotension (BP 80/50 mmHg), abdominal pain and confusion after a gastrointestinal illness. He is on regular Hydrocortisone and Fludrocortisone at home but has been unable to keep tablets down. What is the single most important immediate treatment?

Accepted Answer

Intravenous Hydrocortisone 100 mg stat

Answer

Increase oral Hydrocortisone dose threefold

Answer

Give intramuscular Adrenaline 500 micrograms

Answer

Start high-dose oral Prednisolone

Answer

Give intravenous 5% dextrose only

uk-plab-1 MCQ (SBA): Adrenal crisis