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SHR Neuro Cancer Cardio Lipid Metab Microb

Pilz, S; Krebs, M; Bonfig, W; Högler, W; Hochgerner, A; Vila, G; Trummer, C; Theiler-Schwetz, V; Obermayer-Pietsch, B; Wolf, P; Scherer, T; Kiefer, F; Fröhlich-Reiterer, E; Gottardi-Butturini, E; Kapelari, K; Schatzl, S; Kaser, S; Höfle, G; Schiller, D; Stepan, V; Luger, A; Riedl, S.
[Emergency card, emergency medication, and information leaflet for the prevention and treatment of adrenal crisis (Addison crisis): an Austrian consensus document].
J Klin Endokrinol Stoffwechs. 2022; 15(1):5-27 Doi: 10.1007/s41969-022-00155-2 [OPEN ACCESS]
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Leading authors Med Uni Graz

Pilz Stefan

Co-authors Med Uni Graz

Fröhlich-Reiterer Elke

Obermayer-Pietsch Barbara

Stepan Vinzenz

Theiler-Schwetz Verena

Trummer Christian

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Abstract:

A central goal of the adrenal insufficiency management is the prevention of acute adrenal insufficiency (also known as adrenal crisis or Addison crisis). This consensus document was generated in order to achieve better implementation and harmonization of measures for the prevention and treatment of acute adrenal insufficiency in Austria. The following measures are generally recommended for all patients with adrenal insufficiency and are outlined in this manuscript: (1) Provision of a "steroid emergency card" and possibly also a medical alert bracelet or necklace (or similar identification). (2) Provision of a hydrocortisone injection kit (or alternative glucocorticoid preparations) for emergency use plus sufficient oral glucocorticoid doses for stress situations/illness. (3) Education of patients and relatives on glucocorticoid stress dosing and "sick day rules" as well as on self-injection of hydrocortisone. (4) Provision of a treatment guideline (information leaflet) for the prevention and therapy of the adrenal crisis, which should also be shown to healthcare staff if necessary. (5) Provision of an emergency phone number (contact details) of the responsible endocrine specialist team or other trained staff. (6) Reinforcement of patient education on a regular basis (preferably yearly). This consensus document also includes recommendations for glucocorticoid dosing in the perioperative setting as well as in various other stress situations.

Find related publications in this database (Keywords)

Guideline

Acute adrenal insufficiency

Congenital adrenal hyperplasia

CAH

Education

Cortisol

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