Which medications are given prior to surgery in pediatric patients with adrenal insufficiency (Addison disease)?

Updated: Dec 07, 2018
  • Author: Kimberly Tafuri, DO; Chief Editor: Sasigarn A Bowden, MD  more...
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Answer

If a patient with adrenal insufficiency (Addison disease) requires surgery, treat him or her with stress doses of glucocorticoids (eg, hydrocortisone 50-100 mg/m2 given intramuscularly or intravenously when the patient is being transported to the operating room or in advance of the planned surgery). Fludrocortisone may be withheld on the day of surgery and while the patient is receiving stress doses of hydrocortisone.


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