Question 14 (part 2) · LEK · Adrenal crisis
Indicate the false statements regarding the treatment of adrenal crisis in the A&E department:
- A. adrenal crisis should be considered in all patients with symptoms of hypotension, especially if they do not respond to pressor amines.
- B. all patients with adrenal crisis require rapid intravenous glucocorticosteroid administration.
- C. in adrenal crisis dexamethasone administration cannot be initiated because of concerns about its effect on cosynotropin stimulation tests.
- D. already two weeks of high-dose glucocorticosteroid use may cause suppression of adrenal cortex function, which makes the patient susceptible to adrenal crisis.
- E. none of the above.
Hint
Ask whether steroid treatment should ever wait for diagnostic tests, and which steroid does not interfere with cortisol measurement.
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