Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
TWO THINGS ARE GOOING ON
1. IN ADRENAL CRISIS DUE TO BLEEDING in glands
2.LIVER- VIT K RELATED COAGULTION FACTOR 2,7,9,10(PLROLONGED PT & PTT)
FIRST CRISIS IS TAKEN:
GIVE DEXAMETHASONE AND IV FLUID
THEN, DO co-syntropin test.If adrenal crisis ai diagnosed ,then give hyrocortisonea and maintain with prednesolone.
ccccccccc
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
C..
Could be Waterhouse-Fredrickson syndrome
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
Answer:
© Send blood for cortisol and treat with hydrocortisone and normal saline
Explanation:
Acute adrenal insufficiency must be distinguished from other causes of shock, such as sepsis, the heart, or hemorrhage. Patients with acute adrenal insufficiency may present with headache, nausea, vomiting, mental status changes, hypoglycemia, hyperkalemia, hyponatremia, and hypercalcemia. The blood pressure is usually low. Fever may be as high as 40 C (104 F) or higher. Body fluid cultures may be positive if a bacterial infection is the precipitating cause. Adrenal crisis may occur following stress, trauma, infection, fasting, bilateral adrenalectomy, injury to adrenal glands by trauma, hemorrhage, thrombosis, anticoagulant therapy, or metastatic carcinoma. The diagnosis is made by a simplified cosyntropin-stimulation test. But if the diagnosis is suspected on a clinical basis, you should immediately draw a sample of blood for a cortisol level and start hydrocortisone and saline intravenously without waiting for results. Thereafter, continue hydrocortisone for at least several days. Rapid treatment is lifesaving
Posts: 3,675,934
Threads: 734,342
Joined:
Sep 2021
Reputation:
5
Veryyy good qs!!thanks vanco for the nice explanation!
