Perioperative
stress doses of
to mitigate this rare but potentially fatal complications of perioperative use of steroid such as full-blown
adrenal crisis in the perioperative period due to the secondary adrenal insufficiency. Various exogenous steroid preparations are used for a wide range of indications.
Stress doses
Emergency corticosteroid supplementation in patients taking exogenous corticosteroids:
[ Stress dose steroids - published by Creative Commons license ]
|
|
| Continue normal dosing |
| 25 mg of hydrocortisone every eight hours for 24 hours. Resume usual dose thereafter. |
| 50 mg every eight hours for 24 hours. Taper dose by half per day to maintenance level. |
Pediatric doses
Emergent intramuscular dosing can be given if child is not tolerating oral medications or unable to get IV within 15 minutes. IM hydrocortisone sodium succinate doses are:
[ Stress Dose Steroids]
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25 mg for child 3 years and younger
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50 mg for children >3 yrs – 12 years
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100 mg for children 12 years and older.
