2016
DOI: 10.1590/1806-9282.62.08.728
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Conduct protocol in emergency: Acute adrenal insufficiency

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Cited by 4 publications
(4 citation statements)
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“…In patients with newly diagnosed (or suspected) adrenal insufficiency, baseline blood samples should be drawn immediately to measure cortisol and adrenocorticotropic hormone levels before hydrocortisone administration. However, this is a critical condition; thus, a time-consuming diagnostic workup should be avoided to ensure prompt initiation of treatment even before diagnostic confirmatory testing is completed (4, 11, 12). A diagnostic delay may result in potentially fatal consequences following the failure of physiological compensation to the invasive stress.…”
Section: Discussionmentioning
confidence: 99%
“…In patients with newly diagnosed (or suspected) adrenal insufficiency, baseline blood samples should be drawn immediately to measure cortisol and adrenocorticotropic hormone levels before hydrocortisone administration. However, this is a critical condition; thus, a time-consuming diagnostic workup should be avoided to ensure prompt initiation of treatment even before diagnostic confirmatory testing is completed (4, 11, 12). A diagnostic delay may result in potentially fatal consequences following the failure of physiological compensation to the invasive stress.…”
Section: Discussionmentioning
confidence: 99%
“…Serum cortisol level ≥ 100 pg/mL confirms the diagnosis of Addison's syndrome. Serum cortisol value of <10 pg/mL confirms diagnosis of secondary AI [35][36][37][38][39].…”
Section: Laboratory Investigationsmentioning
confidence: 99%
“…Adrenal insufficiency was first described by Thomas Addison in 1855 and was popularly known as Addison's disease. This disorder can occur either due to failure of the adrenal gland or impairment of the hypothalamic-pituitary axis [36]. Clinically this syndrome is characterized by weakness, fatigue, anorexia, abdominal pain, weight loss, orthostatic hypotension, and salt craving.…”
Section: Introduction and Definitionmentioning
confidence: 99%
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