MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A patient on long-term treatment for an inflammatory condition is following a prescribed steroid taper. Gastroenteritis prevents retention of tablets; profound weakness and faintness develop.
Should care wait for the next cortisol test?
No. Inability to retain treatment and faintness raise concern for adrenal crisis and dehydration. Urgent assessment and the appropriate emergency protocol are needed. Anticipating this situation with an individual written plan is preferable to an improvised, unsupervised dose change.