Adrenal Crisis-Congenital Adrenal Hyperplasia (CAH): Difference between revisions
From Guide to YKHC Medical Practices
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[[image:All Emergency RMT.png|750px]] | [[image:All Emergency RMT.png|750px]] | ||
[[media:pediatric critical care guide.pdf|Pediatric Critical Care Guide]] | |||
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Acute adrenal crisis presents as vomiting, diarrhea, dehydration, hypotension and shock. Crisis can be precipitated by illness, trauma and hyperthermia. | Acute adrenal crisis presents as vomiting, diarrhea, dehydration, hypotension and shock. Crisis can be precipitated by illness, trauma and hyperthermia. | ||
*'''''If you get a call on a pediatric patient with CAH who is in crisis, find out if the caretakers have a dose of IM Solucortef for emergencies and give this ASAP'''''. | *'''''If you get a call on a pediatric patient with CAH who is in crisis, find out if the caretakers have a dose of IM Solucortef for emergencies and give this ASAP'''''. |
Revision as of 00:52, 31 August 2019
Acute adrenal crisis presents as vomiting, diarrhea, dehydration, hypotension and shock. Crisis can be precipitated by illness, trauma and hyperthermia.
- If you get a call on a pediatric patient with CAH who is in crisis, find out if the caretakers have a dose of IM Solucortef for emergencies and give this ASAP.
- Make arrangements for medevac.
- If the patient has no emergency solucortef available, you can give dexamethasone from the village formulary