Treatment should not be delayed to complete diagnostic testing.
100mg IM/IV hydrocortisone then 50mg 6 hourly or 200mg/24hours IV infusion.
IV fluid rehydration
Electrolyte replacement (as required).
Monitor renal function
Identify and treat underlying cause as well as trigger for acute episode
For ongoing care, early input from the endocrinology team will be able to advise on further steroid replacement as well as sick day rules and steroid alert cards/bracelets1,3,4.
