Stress dose steroids: Difference between revisions
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==Emergency corticosteroid suplementation in patients taking exogenous [[corticosteroids]]== | |||
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| Minor procedure or surgery under local anesthesia (eg, inguinal hernia repair)||No extra supplementation is necessary||Continue normal dosing | | Minor procedure or surgery under local anesthesia (eg, inguinal hernia repair)||No extra supplementation is necessary||Continue normal dosing | ||
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| Moderate surgical stress (eg, lower extremity revascularization, total joint replacement)||50 mg hydrocortisone IV ||25 mg of hydrocortisone every eight hours for 24 hours. Resume usual dose thereafter. | | Moderate surgical stress (eg, lower extremity revascularization, total joint replacement)||50 mg [[hydrocortisone]] IV ||25 mg of hydrocortisone every eight hours for 24 hours. Resume usual dose thereafter. | ||
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| Major surgical stress (eg, esophagogastrectomy, total proctocolectomy, open heart surgery)||100 mg hydrocortisone IV ||50 mg every eight hours for 24 hours. Taper dose by half per day to maintenance level. | | Major surgical stress (eg, esophagogastrectomy, total proctocolectomy, open heart surgery)||100 mg [[hydrocortisone]] IV ||50 mg every eight hours for 24 hours. Taper dose by half per day to maintenance level. | ||
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Revision as of 05:09, 7 May 2017
Emergency corticosteroid suplementation in patients taking exogenous corticosteroids
| Category | Initial | Subsequent |
| Minor procedure or surgery under local anesthesia (eg, inguinal hernia repair) | No extra supplementation is necessary | Continue normal dosing |
| Moderate surgical stress (eg, lower extremity revascularization, total joint replacement) | 50 mg hydrocortisone IV | 25 mg of hydrocortisone every eight hours for 24 hours. Resume usual dose thereafter. |
| Major surgical stress (eg, esophagogastrectomy, total proctocolectomy, open heart surgery) | 100 mg hydrocortisone IV | 50 mg every eight hours for 24 hours. Taper dose by half per day to maintenance level. |