ADRENAL INSUFFICIENCY IN THE CRITICALLY ILL PATIENT

Posted by e-Medical PPT Thursday, October 7, 2010
Patients with adrenal insufficiency in the critical care setting may present with a spectrum of disease severity ranging from life-threatening adrenal crisis to mild organ dysfunction. The recognition of adrenal insufficiency is made more difficult in the critically ill patient.
Adrenal insufficiency can be subdivided into three broad categories:Chronic primary adrenal insufficiency, also called Addison's disease, is a result of destruction of the adrenal cortex.Acute adrenal crisis may result from stress in patients with chronic adrenal insufficiency who are not adequately replaced, but it also occurs in patients with acute adrenal hemorrhage or pituitary apoplexy.
Critically ill patients present a special challenge in terms of diagnosis and management of adrenal insufficiency. Acute adrenal crisis may occur as a result of stress in patients not given supplemental glucocorticoids and known to have chronic adrenal insufficiency.High parenteral doses of glucocorticoids and fluid resuscitation are the mainstay of therapy. Fluids are given as normal saline or as normal saline with 5% glucose in cases of hypoglycemia.The most commonly given steroid is hydrocortisone, which in large doses provides not only glucocorticoid but also mineralocorticoid coverage.

Related Posts Plugin for WordPress, Blogger...

0 Responses to ADRENAL INSUFFICIENCY IN THE CRITICALLY ILL PATIENT

Post a Comment

Share This

GET UPDATES!!!

Subscribe by E-mail & receive updates your inbox!
Enter your email address:

Follow Us on Facebook

Blog Archive