Adrenal Crisis Quiz

What is the definition of an adrenal crisis?

• A condition where the body produces excess cortisol and aldosterone

• A condition where individuals do not produce life-sustaining hormones like cortisol and aldosterone

• A condition characterized by high blood sugar and salt balance

• A condition where the adrenal glands are overactive

Which individuals are at constant risk of an adrenal crisis?

• Those with high blood pressure

• Those who are steroid dependent

• Those with diabetes

• Those with high cholesterol

What are some signs and symptoms of an adrenal crisis?

• Fever, cough, and sore throat

• Pallor, dizziness, weakness/lethargy, nausea/vomiting

• High blood pressure and rapid heartbeat

• Rash and itching

What is the preferred treatment for an adrenal crisis?

• Insulin

• Solu-Cortef

• Antibiotics

• Antihistamines

What should be done if a patient's Solu-Cortef is not available or past expiration date?

• Administer insulin

• Administer Solu-Medrol or Decadron

• Administer antibiotics

• Administer antihistamines

What is the recommended dosage of Epinephrine Push Dose Pressor to maintain SBP ≥ 90 mmHg?

• 1 ml (10 mcg) every 1-3 minutes IV/IO

• 2 ml (20 mcg) every 5 minutes IV/IO

• 0.5 ml (5 mcg) every 10 minutes IV/IO

• 3 ml (30 mcg) every 2 minutes IV/IO

Which medication can be used as an alternative to Epinephrine Push Dose Pressor to maintain SBP ≥ 90 mmHg?

• Dopamine

• Levophed Push Dose Pressor

• Atropine

• Lidocaine

What is the dosage range for an Epinephrine IV/IO infusion to maintain SBP ≥ 90 mmHg?

• 2-10 mcg/min

• 5-15 mcg/min

• 10-20 mcg/min

• 1-5 mcg/min

What is the dosage range for a Levophed IV/IO infusion to maintain SBP ≥ 90 mmHg?

• 4-30 mcg/min

• 10-40 mcg/min

• 5-25 mcg/min

• 3-20 mcg/min