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Addison's steroid emergency — GPhC CRA MCQ

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EasyEndocrine TherapeuticsAddison's steroid emergencyGPhC CRA

A patient with adrenal insufficiency on hydrocortisone tablets says he has been vomiting repeatedly and cannot keep tablets down. His partner asks for pharmacy advice. What is the most appropriate action?

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Correct answer: D — Arrange urgent medical help because adrenal crisis risk is high

Patients with adrenal insufficiency who cannot retain oral steroids are at risk of adrenal crisis. Urgent medical assessment and parenteral steroid treatment may be required. Delaying treatment can be life-threatening.

Reference: BNF; NICE CKS