How do you monitor an Addison's patient after starting maintenance treatment with DOCP?
check electrolytes in 12-14 days to determine if the total dose is sufficient; check again at 25 days to determine if the interval b/w doses needs to be changed; check every 3 months until under control
Fludrocortisone replaces ___________; the dose is __________.
mineralocorticoids and glucocorticoids; 15-20μg/kg/day PO
How do you monitor an Addison's patient after starting maintenance treatment with Fludrocortisone?
adjust dosage by monitoring serum electrolyte concentrations every 1-2 weeks until under control
When is glucocorticoid replacement therapy necessary?
always necessary for classic addisons on DOCP, sometimes necessary for classic addisons of Fludrocortisone, the only treatment necessary for atypical HA
What is the physiologic dose of Prednisone for glucocorticoid replacement therapy with Addison's?
0.2mg/kg/day- increase at times of stress
What is prognosis for Addison's with proper treatment?