Treatment-adrenal insufficiency

• Acute insufficiency: volume resusc. w/ normal saline + hydrocortisone IV (see below)

Chronic insufficiency:

(1) prednisone ~4–5 mg PO qam or hydrocortisone 15–25 mg PO qd (2/3 a.m., 1/3 early p.m.); (2) fludrocortisone (not needed in 2° adrenal insufficiency) 0.05–0.2 mg PO qam (JCEM 2018;103:376); (3) backup dexamethasone 4-mg IM prefilled syringe given to Pt for emergency situations