A 38-year-old woman with autoimmune Addison disease develops vomiting, diarrhoea and abdominal pain. She is hypotensive and appears shocked. She has b...

Question

A 38-year-old woman with autoimmune Addison disease develops vomiting, diarrhoea and abdominal pain. She is hypotensive and appears shocked. She has been unable to take her usual oral hydrocortisone. What is the most appropriate immediate management?

Accepted Answer

Give intravenous hydrocortisone and rapid intravenous fluids

Answer

Increase her oral hydrocortisone dose only

Answer

Start fludrocortisone alone

Answer

Give insulin and dextrose infusion

Answer

Observe closely without treatment

uk-plab-1 MCQ (SBA): Addisonian crisis

A 38-year-old woman with autoimmune Addison disease develops vomiting, diarrhoea and abdominal pain. She is hypotensive and appears shocked. She has been unable to take her usual oral hydrocortisone. What is the most appropriate immediate management?