Department of Endocrinology (insert letterhead)
After hours: +61-(0)
To whom it may concern
Name: DOB: MRN:
Has Congenital Adrenal Hyperplasia, which causes adrenal insufficiency.
Illness may result in a life-threatening adrenal crisis if not treated promptly because of low cortisol and glucose and salt depletion.
In the event of a significant intercurrent illness, such as a fever above 38 degrees Celsius, give an increased dose of oral hydrocortisone ____ mg, (3 or4) times a day.
In the event of diarrhoea/vomiting or reduced level of consciousness, please give an intramuscular injection of hydrocortisone ______mgs (= mls) without delay: (using 100mgs/2ml vial)
Blood glucose should always be monitored when unwell.
In the event of surgery or general anaesthesia, please give hydrocortisone ______mg IV with induction.
For further information or advice please contact the paediatric endocrinologist on call or after hours call through the hospital switchboard on Tel: _______________.
Child should always wear a “Medical Alert” bracelet: inscribed “Cortisol Deficiency”
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