5th April 2024

You are the surgical SHO on call and are called to see a woman who has become very unwell

You are the surgical SHO on call and are called to see a woman who has become very unwell. Nurses on the ward inform you she was admitted for an elective cholecystectomy yesterday and was doing well postoperatively. Throughout today, she has been vomiting and complaining of abdominal pain and is now hypotensive BP 78/49 mm Hg and her GCS has dropped to 10. She has Addison’s disease and you suspect this is an acute Addisonian crisis. What is the definitive treatment for this condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.