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Chapter 98 - Stress Dose Steroids

from Section 14 - Other Situations

Published online by Cambridge University Press:  03 August 2023

By
Michael Dale Bassett  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 65-year-old male is admitted to the emergency department and found to have an acute appendicitis. His past medical history is significant for rheumatoid arthritis. The patient has taken prednisone 10 mg/day for several years. After an uneventful appendectomy, the patient becomes hypotensive with a blood pressure of 76/40 mm Hg in the post-anesthesia care unit. The patient received a 2 L normal saline IV bolus without improvement. Would you recommend that the patient receive stress dose steroids in this situation?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 417 - 419
Publisher: Cambridge University Press
Print publication year: 2023

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References

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