If the patient remains hypotensive despite adequate fluid resuscitation and titration of one vasoactive infusions, consider stress-dose hydrocortisone for Critical Illness-Related Corticosteroid Insufficiency (CIRCI). If possible, send a random blood cortisol level prior to starting hydrocortisone.
|BSA||100 mg/m2 load, then 100 mg/m2/day divided q 4 hours IV|
|mg/kg||2 mg/kg IV load (max 100 mg), then 2 mg/kg/day
divided q 4 hours IV