Steroid Stress Dosing and Weaning Clinical Pathway
Steroid Stress Dosing and Weaning Clinical Pathway
Goals
- Standardize indications, dosing recommendations and length of treatment for stress dose glucocorticoid therapy.
- Guide weaning of glucocorticoids below physiologic dosing levels or following prolonged stress dosing.
- Standardize recommendations for hypothalamic-pituitary-adrenal axis evaluation.
Metrics
- Increase documentation of secondary adrenal insufficiency on Epic problem list
- Increase stress dosing instructions provided to patients on glucocorticoid therapy
- Increase % children who require stress dosing that receive injectable hydrocortisone (Solu-Cortef)
- Decrease % children removed from BPA registry who do not meet definition of chronic steroid therapy