A 58-year-old man on long-term prednisolone for COPD presents with hypotension, abdominal pain and confusion after a vomiting illness. What is the mos...

Question

A 58-year-old man on long-term prednisolone for COPD presents with hypotension, abdominal pain and confusion after a vomiting illness. What is the most appropriate immediate treatment?

Accepted Answer

IV hydrocortisone 100 mg and IV fluids

Answer

Oral hydrocortisone 10 mg

Answer

IV dexamethasone 2 mg only

Answer

Fludrocortisone 100 micrograms orally

Answer

Wait for cortisol result before treatment

mrcem sba MCQ (SBA): Adrenal crisis

A 58-year-old man on long-term prednisolone for COPD presents with hypotension, abdominal pain and confusion after a vomiting illness. What is the most appropriate immediate treatment?