A 40-year-old with primary adrenal insufficiency is on hydrocortisone maintenance. She develops pneumonia requiring hospital admission. How should her...

Question

A 40-year-old with primary adrenal insufficiency is on hydrocortisone maintenance. She develops pneumonia requiring hospital admission. How should her hydrocortisone dose be adjusted

Accepted Answer

Double or triple the dose during acute illness

Answer

Continue at the same dose

Answer

Halve the dose

Answer

Stop hydrocortisone and start fludrocortisone

Answer

Switch to prednisolone

ukmla MCQ (SBA): Primary adrenal insufficiency

A 40-year-old with primary adrenal insufficiency is on hydrocortisone maintenance. She develops pneumonia requiring hospital admission. How should her hydrocortisone dose be adjusted