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Also known as: adrenal crisis · Addisonian crisis · acute adrenal insufficiency
A life-threatening lack of cortisol (± aldosterone) — hypotension/shock, often with low sodium, high potassium and low glucose. Give steroids and fluids immediately; do not wait for tests.
Known adrenal insufficiency (Addison's, pituitary disease, or abrupt steroid withdrawal) under stress (infection, surgery); it may be a first presentation.
Immediate steroid replacement
Caution: Never delay steroids for confirmatory tests.
Volume + glucose
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