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Emergency hydrocortisone in adrenal insufficiency — GPhC CRA MCQ

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HardEndocrine TherapeuticsEmergency hydrocortisone in adrenal insufficiencyGPhC CRA

A patient with Addison's disease presents with vomiting, severe weakness and dizziness. He has not kept down his oral hydrocortisone since yesterday. What is the most appropriate action?

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Correct answer: E — Arrange urgent medical help because parenteral hydrocortisone may be needed

In adrenal insufficiency, vomiting can prevent absorption of steroid replacement and precipitate adrenal crisis. Severe weakness and dizziness are red flags requiring urgent care and parenteral hydrocortisone. Delaying treatment is dangerous.

Reference: BNF; NICE CKS