Question

A 47-year-old man with known Addison’s disease misses his hydrocortisone for 2 days due to vomiting from gastroenteritis. He presents with hypotension, hyponatraemia and hyperkalaemia. What is the single most appropriate immediate treatment?

Accepted Answer

Intravenous hydrocortisone 100 mg and 0.9% sodium chloride

Answer

Oral hydrocortisone 20 mg

Answer

Oral Prednisolone 5 mg

Answer

Fludrocortisone 100 micrograms orally

Answer

Intravenous Adrenaline infusion

Practice question

A 47-year-old man with known Addison’s disease misses his hydrocortisone for 2 days due to vomiting from gastroenteritis. He presents with hypotension, hyponatraemia and hyperkalaemia. What is the single most appropriate immediate treatment?