An adult with suspected adrenal crisis has received initial parenteral hydrocortisone. Blood pressure is 78/44 mmHg, sodium 126 mmol/L and glucose 3.4...

Question

An adult with suspected adrenal crisis has received initial parenteral hydrocortisone. Blood pressure is 78/44 mmHg, sodium 126 mmol/L and glucose 3.4 mmol/L. Which immediate fluid plan best follows NICE?

Accepted Answer

Infuse 1 litre 0.9% saline over 30 minutes, then reassess

Answer

Infuse 1 litre 5% dextrose over 30 minutes, then restrict sodium

Answer

Infuse 3% saline until serum sodium reaches the reference range

Answer

Infuse 500 mL colloid before further endocrine assessment

Answer

Use oral rehydration after the initial parenteral hydrocortisone dose

Cardiology — MRCP Part 1 MCQ

An adult with suspected adrenal crisis has received initial parenteral hydrocortisone. Blood pressure is 78/44 mmHg, sodium 126 mmol/L and glucose 3.4 mmol/L. Which immediate fluid plan best follows NICE?