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Steroid sick day counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareSteroid sick day counsellingGPhC CRA

A patient on long-term hydrocortisone replacement asks what to do during fever and vomiting. What would you advise the patient?

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

Patients with adrenal insufficiency need increased steroid cover during significant illness and urgent care if they cannot keep oral doses down. Vomiting can precipitate adrenal crisis. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: NHS Steroid Emergency Card guidance; BNF