A pre-hospital team is managing a patient with a known history of Addison's disease who has collapsed at home with confusion, vomiting, and hypotensio...

Question

A pre-hospital team is managing a patient with a known history of Addison's disease who has collapsed at home with confusion, vomiting, and hypotension (BP 72/45 mmHg). She usually takes hydrocortisone 10 mg in the morning and 5 mg in the afternoon. What is the emergency pre-hospital treatment?

Accepted Answer

Intravenous or intramuscular hydrocortisone 100 mg

Answer

No steroid treatment pre-hospital - arrange urgent hospital transfer only

Answer

Intravenous methylprednisolone 1 g

Answer

Oral prednisolone 40 mg

Answer

Intravenous dexamethasone 8 mg

uk-dipimc MCQ (SBA): Addisonian Crisis

A pre-hospital team is managing a patient with a known history of Addison's disease who has collapsed at home with confusion, vomiting, and hypotension (BP 72/45 mmHg). She usually takes hydrocortisone 10 mg in the morning and 5 mg in the afternoon. What is the emergency pre-hospital treatment?