Commentary
Treatment and prevention of adult patients' adrenal crises
Author(s): Vikas Yadav*
An abrupt, life-threatening emergency called an adrenal crisis is one of the main causes of the higher than expected death rates seen in people with adrenal insufficiency. Patients with adrenal insufficiency are thought to experience adrenal crises 8 times per 100 patient years. Adrenal crisis patients typically have nonspecific signs and symptoms that result in delayed identification and treatment. These patients report as systemically ill and sick. A patient may experience an adrenal crisis even after being on glucocorticoid replacement medication for some time or it may be the initial sign of adrenal insufficiency. The main triggering reason is infection, but there are other factors as well, such as physical stress after surgery or trauma, forgetting to take glucocorticoid medication, intense physical exercise, and psychological stress. Parenteral hydrocortisone, rehydration, and t.. Read More»
DOI:
10.37532/puljeds.22.6.(3)20-21
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