Steroids-sepsis and shock

Steroids (Crit Care Med 2018;46:1411)

• Hydrocortisone 50 mg IV q6 + fludrocortisone 50 µg via NGT daily in septic shock ↓ duration of shock and may ↓ mortality (NEJM 2018; 378:797 & 809)

• Consider in Pts w/ refractory shock on escalating doses of pressors