Abstract
Answer B
Patients with Addison’s disease must follow the ‘sick day rules’:
Double the normal dose of hydrocortisone for a fever of more than 37.5°C or for infection/sepsis requiring antibiotic For severe nausea (often with headache), take 20 mg hydrocortisone orally and sip rehydration/electrolyte fluids On vomiting, use the emergency injection (100 mg hydrocortisone) immediately. Then call a doctor, saying Addison’s emergency Take 20 mg hydrocortisone orally immediately after major injury to avoid shock
Caring for the Addison’s patient: information for GPs www.addisons.org.uk/comms/publications/gpaddisonsleaflet.pdf