Suspected Adrenal Crisis Medical Directive

Question 1

Suspected Adrenal Crisis MD

What are the indications for the suspected adrenal crisis MD?

Answer 1

A patient with primary adrenal failure who is experiencing clinical signs of an adrenal crisis.

Question 2

Suspected Adrenal Crisis MD

What are the conditions for hydrocortisone administration?

Answer 2

Other: Paramedics are presented with a vial of hydrocortisone for the identified patient AND
Age related hypoglycemia OR
GI symptoms (vomiting, diarrhea, abdominal pain) OR
Syncope OR
Temperature ≥38C or suspected/history of fever OR
Altered level of awareness OR
Age-related tachycardia OR
Age-related hypotension

Question 3

Suspected Adrenal Crisis MD

What are the contraindications to hydrocortisone administration?

Answer 3

Allergy or sensitivity to hydrocortisone

Question 4

Suspected Adrenal Crisis MD

What is the dosing information for hydrocortisone?

Answer 4

Route: IM/IV
Dose: 2 mg/kg
Max single dose: 100 mg
Max 1 dose
Dose should be rounded to nearest 10 mg.