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#372 Endocrine Emergencies featuring Dr. Sara Markley Webster

The Curbsiders Internal Medicine Podcast

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Is Continuous Hydrocortisone a Good Option?

There is an option to do continuous hydrocortisone through an IV when it's 200 milligrams over a 24-hour period. If you have any doubts, just go ahead and start the steroids and figure it out on the back end. Miss Nancy, she's 78, has a history of hypothyroidism, hephra and bipolar. She's been stable on her lithium for years. And she recently got started on amiodon for AFib. The patient was brought into the emergency department by her family. They said that she's been disoriented, confused. Her vitals initially are notable for hypothermia. Her temp is 35. Her heart rate is

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