AI Snips
Chapters
Transcript
Episode notes
Steroid Tapering Approach
- Switch patients to hydrocortisone and taper them to a lower dose.
- Then, test their ability to produce steroids naturally.
Cosyntropin Stimulation Test Purpose
- The Cosyntropin stimulation test checks for adrenal insufficiency after steroid use.
- It assesses how the HPA axis has been affected.
Understanding the HPA Axis
- Think of the pituitary gland sending ACTH to tell the adrenal glands to make cortisol.
- Long-term steroid use suppresses this HPA axis, like a vacation for the adrenal glands.