A 45-year-old man with known primary adrenal insufficiency on hydrocortisone replacement develops a febrile gastroenteritis with vomiting and diarrhoe...

Question

A 45-year-old man with known primary adrenal insufficiency on hydrocortisone replacement develops a febrile gastroenteritis with vomiting and diarrhoea. He is unable to keep oral medications down. What is the most appropriate advice regarding his steroid therapy?

Accepted Answer

Administer intramuscular hydrocortisone and seek urgent medical review

Answer

Omit hydrocortisone until he feels better

Answer

Continue usual oral dose without change

Answer

Double his usual oral dose once daily only

Answer

Start prednisolone 1 mg daily instead of hydrocortisone

au-amc MCQ (SBA): Adrenal insufficiency sick day management

A 45-year-old man with known primary adrenal insufficiency on hydrocortisone replacement develops a febrile gastroenteritis with vomiting and diarrhoea. He is unable to keep oral medications down. What is the most appropriate advice regarding his steroid therapy?