ACTH (cosyntropin) stimulation test: Difference between revisions
m (moved Cortisol Stim Test to Cortisol Stimulation Test) |
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| Line 6: | Line 6: | ||
^0.125mg if <2yrs old | ^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== | ==Treatment== | ||
| Line 14: | Line 13: | ||
##dexamethasone 6mg IV | ##dexamethasone 6mg IV | ||
##OR | ##OR | ||
## | ##Hydrocortisone 100mg IV | ||
==Source == | ==Source == | ||
2/22/06 DONALDSON (from Pharmacopoeia) | 2/22/06 DONALDSON (from Pharmacopoeia) | ||
Emedicine Adrenal Crisis in Emergency Medicine | |||
[[Category:Endo]] | [[Category:Endo]] | ||
Revision as of 08:47, 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