stress dose steroid

  • related: Endocrine, ICU intensive care unit
  • tags: #literature

  • initiate stress dose steroid in septic patients taking chronic steroids or has adrenal insufficiency?
  • stress dose steroid does not reduce mortality?
  • stress dose steroid does not increase risk of secondary infection?
  • stress dose steroid reduces septic shock length?1
  • avoid stress dose steroids in patients with opportunistic infections?

Steroid trials

  • 2002: Annane
  • 2008: Corticus
  • 2010: Hypress
  • 2018: adrenal
  • APROCCHSS trial

Dosing

  • steroid equivalents
  • steroids and cortisol
  • stress dose steroids dosing and tapering
  • dexamethasone and methylprednisolone do not have mineralocorticoid effects to be used for stress dose steroids

Periop

https://www.uptodate.com/contents/the-management-of-the-surgical-patient-taking-glucocorticoids

Links to this note

  • ICU intensive care unit
    • stress dose steroid
  • Endocrine
    • stress dose steroid
  • adrenal crisis
    • stress dose hydrocortisone: stress dose steroid
  • pituitary apoplexy
    • stress dose steroid
  • dexamethasone and methylprednisolone do not have mineralocorticoid effects to be used for stress dose steroids
    • related: stress dose steroid
  • stress dose steroids dosing and tapering
    • related: stress dose steroid

Footnotes

  1. https://emcrit.org/pulmcrit/steroids-in-septic-shock-four-misconceptions-and-one-truth/ ↩