Hydrocortisone

Hydrocortisone

Clinical data
Dosage
Hydrocortisone Minor procedures Take usual AM steroid dose, no supplementation required Moderate surgical stress Take usual AM steroid dose 50 mg before incision 25 mg q8h for 24h Major surgical stress Take usual AM steroid dose 100 mg before incision 50 mg q8h for 24h Taper dose by 50% per day until at usual dose More information about this dose Weight kglbg Height cmminft Age yrmowk SexFM Indication  Indication: HPA axis suppression Route  Route: Intravenous HPA axis suppression is unlikely in patients taking less than 5 mg/day of prednisone or equivalent Methylprednisolone 4 mg/day, dexamethasone 0.5 mg/day, hydrocortisone 20 mg/day HPA axis suppression is likely in patients taking more than 20 mg/day of prednisone or equivalent Methylprednisolone 16 mg/day, dexamethasone 2 mg/day, hydrocortisone 80 mg/day Patients taking intermediate doses or who have discontinued higher doses in the previous year should undergo preoperative evaluation of their HPA axis Liu MM, Reidy AB, Saatee S, Collard CD. Perioperative Steroid Management: Approaches Based on Current Evidence. Anesthesiology. 2017 Jul;127(1):166-172. doi: 10.1097/ALN.0000000000001659. PMID: 28452806.
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