ACTH (cosyntropin) stimulation test: Difference between revisions
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Cosyntropin | Cosyntropin | ||
#Before: Draw serum cortisol | |||
#Time 0: ^0.25mg IM/IV over 2min | |||
#Time 30: Draw serum cortisol | |||
#Time 60: Draw serum cortisol & give 100mg hydrodortison IVP | |||
==Treatment== | ^0.125mg if <2yrs old | ||
#Then give either | |||
##dexamethasone 6mg IV | Normal Response: Cortisol level doubles from baseline after Cosyntropin administration | ||
##OR | |||
Adrenal Insufficiency: Cortisol level fails to rise after Cosyntropin administration | |||
== Treatment == | |||
#Then give either | |||
##dexamethasone 6mg IV | |||
##OR | |||
##Hydrocortisone 100mg IV | ##Hydrocortisone 100mg IV | ||
==Source == | == Source == | ||
2/22/06 DONALDSON (from Pharmacopoeia) | |||
Emedicine Adrenal Crisis in Emergency Medicine | 2/22/06 DONALDSON (from Pharmacopoeia) | ||
Emedicine: Adrenal Crisis in Emergency Medicine | |||
[[Category:Endo]] | [[Category:Endo]] | ||
Revision as of 08:54, 28 February 2012
Cosyntropin
- Before: Draw serum cortisol
- Time 0: ^0.25mg IM/IV over 2min
- Time 30: Draw serum cortisol
- Time 60: Draw serum cortisol & give 100mg hydrodortison IVP
^0.125mg if <2yrs old
Normal Response: Cortisol level doubles from baseline after Cosyntropin administration
Adrenal Insufficiency: Cortisol level fails to rise after Cosyntropin administration
Treatment
- Then give either
- dexamethasone 6mg IV
- OR
- Hydrocortisone 100mg IV
Source
2/22/06 DONALDSON (from Pharmacopoeia)
Emedicine: Adrenal Crisis in Emergency Medicine