Adrenal insufficiency – Hydrocortisone every 6h.

Sometimes it is not the expert patients who know to ask for hydrocortisone that we need to worry about. How many patients on chronic steroid treatment (7.5mg prednisolone or equivalent for 3 weeks or more in the last 3 months) are managed as adrenal insufficiency?

Note that hydrocortisone is every 6h – in  a world where patients may be in the ED for longer than 4h, writing up a stat dose is not enough.

Addisonian crisis prompt card.png

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