ACTH (cosyntropin) stimulation test: Difference between revisions
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Cosyntropin | *Cosyntropin | ||
#Before: Draw serum cortisol | #Before: Draw serum cortisol | ||
#Time 0: ^0.25mg IM/IV over 2min | #Time 0: ^0.25mg IM/IV over 2min | ||
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^0.125mg if <2yrs old | ^0.125mg if <2yrs old | ||
Normal Response: Cortisol level doubles from baseline after Cosyntropin administration | *Normal Response: Cortisol level doubles from baseline after Cosyntropin administration | ||
*Adrenal Insufficiency: Cortisol level fails to rise after Cosyntropin administration | |||
Adrenal Insufficiency: Cortisol level fails to rise after Cosyntropin administration | |||
== Treatment == | == Treatment == | ||
#Then give either | #Then give either | ||
##dexamethasone 6mg IV | ##dexamethasone 6mg IV | ||
| Line 23: | Line 20: | ||
2/22/06 DONALDSON (from Pharmacopoeia) | 2/22/06 DONALDSON (from Pharmacopoeia) | ||
Emedicine: Adrenal Crisis in Emergency Medicine | *Emedicine: Adrenal Crisis in Emergency Medicine | ||
[[Category:Endo]] | [[Category:Endo]] | ||
Revision as of 23:42, 3 March 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