ACTH (cosyntropin) stimulation test
Revision as of 06:22, 28 December 2014 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page Cortisol Stimulation Test to Cortisol stimulation test)
- 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