Congenital Adrenal Hyperplasia

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re: re: re: re: reason to increase doses list?SWCAH
Mar. 10th, 2008   8:19am

Sorry don't know what happened...

Fever             triple dose for fever > 102 degrees F.   

Surgery requiring general anesthesia  Yes   Follow guidelines for stress dosing during surgery.

Serious accidental injury  yes   give IM injections and transport to hospital, as situation warrants

Minor scrapes and bruises  no  

Bone break   yes   Give IM injection and transport to hospital if break is severe

Common colds (no fever)  no  if fever occur, stress dose as above

Routine dental work (cleaning, filling, etc.)   no  No stress dose needed for local anesthesia

oral surgery involving general anesthesia  yes  follow guidelines for stress dosing during surgery

Vaccinations (no fever)  no   if fever occurs, stress dose as above

 

Body temperatures

normal body temperature   98.6 F                   37 C 

Fever   100.4 F             38 C

Threshold for double dosing  >101 F            >38.3 C

Threshold for triple dosing  >102 F           >38.9 C

 

When giving stress dose for hydrocortisone, each dose of the day should be doubled or tripled dosed.  Example : normally= 5m g 3 times daily, double dosing= 10 mg 3 times daily,   triple dosing= 15mg 3 times daily

The book can be found on Amazon or on the CARES Foundation website...www.caresfoundation.org ...Thanks....                                                    

Mia




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