Emergency management of an adrenal crisis: Adrenal insufficiency: identification and management
- PMID: 39541481
- Bookshelf ID: NBK609087
Emergency management of an adrenal crisis: Adrenal insufficiency: identification and management
Excerpt
There is widespread agreement on the immediate treatment of adrenal crisis- parenteral hydrocortisone and fluid; however, treatment is often delayed in emergency departments or emergency services may be fearful to administer emergency lifesaving parenteral hydrocortisone as they are unfamiliar with the management of adrenal crisis. There are variations in practice between who should give the treatment, when, and where patients should be seen after emergency treatment.
Patients are often given emergency treatment kits to use themselves, however, there is variation on the contents of these kits, and the training given to them, family or carers.
This chapter sets out the emergency management of adrenal crisis, where patients should be seen, and the care expected following the immediate treatment.
Copyright © NICE 2024.
Similar articles
-
Non-pharmacological strategies to prevent adrenal crisis during periods of intercurrent illness and periods of physiological stress: Adrenal insufficiency: identification and management: Evidence review L.London: National Institute for Health and Care Excellence (NICE); 2024 Aug. London: National Institute for Health and Care Excellence (NICE); 2024 Aug. PMID: 39541486 Free Books & Documents. Review.
-
Information, support and decision making: Adrenal insufficiency: identification and management: Evidence review A.London: National Institute for Health and Care Excellence (NICE); 2024 Aug. London: National Institute for Health and Care Excellence (NICE); 2024 Aug. PMID: 39541493 Free Books & Documents. Review.
-
Adrenal crisis and mortality rate in adrenal insufficiency and congenital adrenal hyperplasia.Arch Endocrinol Metab. 2021 Nov 3;65(4):488-494. doi: 10.20945/2359-3997000000392. Epub 2021 Jul 16. Arch Endocrinol Metab. 2021. PMID: 34283908 Free PMC article. Review.
-
A retrospective analysis of adrenal crisis in steroid-dependent patients: causes, frequency and outcomes.BMC Endocr Disord. 2019 Dec 2;19(1):129. doi: 10.1186/s12902-019-0459-z. BMC Endocr Disord. 2019. PMID: 31791297 Free PMC article.
-
Emergency management of adrenal insufficiency in children: advocating for treatment options in outpatient and field settings.J Investig Med. 2020 Jan;68(1):16-25. doi: 10.1136/jim-2019-000999. Epub 2019 Feb 28. J Investig Med. 2020. PMID: 30819831 Free PMC article. Review.
Publication types
LinkOut - more resources
Full Text Sources