Adrenal Crisis

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Adrenal crisis is a life-threatening emergency due to an acute deficiency of adrenocortical hormones, namely cortisol and aldosterone, which can be fatal if not diagnosed early and treated aggressively. Classically it presents as severe hypotension refractory to IV fluids and vasopressors.

Diagnostic Criteria:

  • Hypoglycemia
  • Hyponatremia (<135mEq/L)
  • Hyperkalemia (>5mEq/L)
  • Non-anion gap metabolic acidosis
  • Low bicarbonate (15-20mEq/L)
  • Elevated BUN and creatinine

EMKF

The Emergency Medicine Kenya (EMK) Foundation is a not-for-profit organization registered in Kenya in 2015 that aims to ensure timely, accessible and quality lifesaving emergency care in Kenya.