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Adrenal insufficiency sick day rules — GPhC CRA MCQ

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EasyEndocrine TherapeuticsAdrenal insufficiency sick day rulesGPhC CRA

A patient taking hydrocortisone replacement for adrenal insufficiency asks what to do if they develop fever and vomiting. They carry a steroid emergency card. They have no symptoms today. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Follow sick-day steroid rules and seek urgent help if vomiting prevents tablets

People with adrenal insufficiency need increased steroid cover during significant illness and urgent help if oral medication cannot be retained. Vomiting can precipitate adrenal crisis if replacement therapy is not absorbed. Reducing or stopping hydrocortisone during illness is unsafe.

Reference: BNF; NHS Steroid Emergency Card guidance