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Steroid Stress Dosing and Weaning Clinical Pathway – Symptoms of Adrenal Insufficiency

Steroid Stress Dosing and Weaning Clinical Pathway

Signs and Symptoms of Adrenal Insufficiency

Physical Exam
  • Tachycardia
  • Hypotension
  • Cyanosis
  • Cold skin
Symptoms
  • Lethargy
  • Anorexia
  • Abdominal pain
  • Vomiting
  • Dehydration
Laboratory
  • Metabolic acidosis
  • Hypoglycemia
  • Hyponatremia with or without hyperkalemia
  • Presence of hyperkalemia indicates an additional mineralocorticoid defect as seen in primary adrenal insufficiency
  • Serum potassium may be normal in steroid-induced or central adrenal insufficiency

 

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