A 63-year-old man arrives as ESI 2 with weakness, vomiting, and abdominal pain after chronic prednisone was stopped abruptly. BP 78/44, HR 122,

Question

A 63-year-old man arrives as ESI 2 with weakness, vomiting, and abdominal pain after chronic prednisone was stopped abruptly. BP 78/44, HR 122, sodium 124 mEq/L, potassium 5.8 mEq/L, glucose 54 mg/dL. Which of the following is the most appropriate next step in management?

Accepted Answer

Administer hydrocortisone and isotonic dextrose-containing fluids

Answer

Order outpatient ACTH stimulation testing

Answer

Discharge after oral fluids

Answer

Give rapid-acting insulin without dextrose

Answer

Administer furosemide

Adrenal crisis — ABEM Board MCQ

A 63-year-old man arrives as ESI 2 with weakness, vomiting, and abdominal pain after chronic prednisone was stopped abruptly. BP 78/44, HR 122, sodium 124 mEq/L, potassium 5.8 mEq/L, glucose 54 mg/dL. Which of the following is the most appropriate next step in management?