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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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viernes, 6 de mayo de 2016

Stress dose steroids in the ED

PEM Blog

"Came across this great post on Academic Life in Emergency Medicine from Drs. Delhine Huang and Sony Tat recently that was too good not to share here as well. I’ve always been slightly vexed by stress dose steroids in the ED. Here are some take home points followed by the embedded video.
Who needs them?
Any patient on chronic steroids, Addison’s disease, or something wrong with their hypothalamic/pituitary axis and are sick. Recall that the daily “physiologic” dose of hydrocortisone is hydrocortisone is 6-12 mg/m2/day. Many children will be on chronic daily steroids – commonly prednisone and hydrocortisone. In general 5mg of prednisone is roughly equivalent to 20mg of hydrocortisone. For trivia’s sake 0.75mg of dexamethasone equals 5mg of prednisone..."