Julie HJust found this whilst browsing around for other information and thought that I would post:
Illness and Stress Management:
Non-Crisis -- The child is alert and able to take medications and fluids by mouth; needs 2 to 3 times the usual dosage of hydrocortisone by mouth:
- Infection usually with fever > 101° F
- Trauma more than a scratch
- Minor surgical or dental procedure
- Mild upset stomach, infrequent vomiting or mild diarrhea
Crisis -- The child looks sick and cannot take medications and fluids by mouth; needs injectable hydrocortisone of at least three times the child's usual dose without delay and intravenous fluids:
- Infection with or without high fever
- Poor appetite
- Major trauma requiring surgical intervention
- Elective major surgery requiring general anesthesia
- Frequent vomiting and severe diarrhea
Surgical Treatment:
- The fertility rate in females with CAH depends on how well the condition is treated and how successful surgery is at restoring normal structure and function.
- The conventional corrective surgery approach is done in two stages:
- the first between one to three months of age;
- the second after two years of age but prior to pre-menstrual age.
the whole of that abstract ccan be found at:http://www.doh.wa.gov/phl/newborn/cah97pg3.htm
JH