Notfallausweis, Notfallmedikation und Informationsmaterial zur Prävention und Therapie der Nebennierenkrise (Addison-Krise): Ein österreichisches Konsensusdokument View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-03-02

AUTHORS

Stefan Pilz, Michael Krebs, Walter Bonfig, Wolfgang Högler, Anna Hochgerner, Greisa Vila, Christian Trummer, Verena Theiler-Schwetz, Barbara Obermayer-Pietsch, Peter Wolf, Thomas Scherer, Florian Kiefer, Elke Fröhlich-Reiterer, Elena Gottardi-Butturini, Klaus Kapelari, Stefan Schatzl, Susanne Kaser, Günter Höfle, Dietmar Schiller, Vinzenz Stepan, Anton Luger, Stefan Riedl

ABSTRACT

A central goal of the adrenal insufficiency management is the prevention of acute adrenal insufficiency (also known as adrenal crisis or Addison crisis). This consensus document was generated in order to achieve better implementation and harmonization of measures for the prevention and treatment of acute adrenal insufficiency in Austria. The following measures are generally recommended for all patients with adrenal insufficiency and are outlined in this manuscript: (1) Provision of a “steroid emergency card” and possibly also a medical alert bracelet or necklace (or similar identification). (2) Provision of a hydrocortisone injection kit (or alternative glucocorticoid preparations) for emergency use plus sufficient oral glucocorticoid doses for stress situations/illness. (3) Education of patients and relatives on glucocorticoid stress dosing and “sick day rules” as well as on self-injection of hydrocortisone. (4) Provision of a treatment guideline (information leaflet) for the prevention and therapy of the adrenal crisis, which should also be shown to healthcare staff if necessary. (5) Provision of an emergency phone number (contact details) of the responsible endocrine specialist team or other trained staff. (6) Reinforcement of patient education on a regular basis (preferably yearly). This consensus document also includes recommendations for glucocorticoid dosing in the perioperative setting as well as in various other stress situations. More... »

PAGES

5-27

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s41969-022-00155-2

DOI

http://dx.doi.org/10.1007/s41969-022-00155-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1145968680

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35251520


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