In Addison's disease during intercurrent illness, which statement is incorrect?

In Addison's disease during intercurrent illness, which statement is incorrect?

• A. During illness, increase dose of steroids as advised by physician.
• B. Call doctor if fever persists.
• C. Continue normal activity and dose.
• D. Seek medical attention if signs of crisis.

Answer: (C)

During Addison's disease, the lack of cortisol means the body cannot cope with the extra stress of an illness. Because of this, the steroid dose must be increased during intercurrent illness according to the physician's plan to prevent an adrenal crisis. Continuing the normal dose and activity level would not meet the body's heightened needs, leaving the patient at risk for dizziness, dehydration, low blood pressure, electrolyte disturbances, and hypoglycemia. If fever persists or illness worsens, contact the doctor to adjust the dose. Seek medical care immediately if signs of crisis appear, such as severe vomiting with dehydration, very low blood pressure, confusion, or extreme weakness. If you cannot keep liquids down, use the prescribed parenteral steroid and go to the emergency department. Always follow the written emergency plan and carry any emergency steroid instructions.

During Addison's disease, the lack of cortisol means the body cannot cope with the extra stress of an illness. Because of this, the steroid dose must be increased during intercurrent illness according to the physician's plan to prevent an adrenal crisis. Continuing the normal dose and activity level would not meet the body's heightened needs, leaving the patient at risk for dizziness, dehydration, low blood pressure, electrolyte disturbances, and hypoglycemia. If fever persists or illness worsens, contact the doctor to adjust the dose. Seek medical care immediately if signs of crisis appear, such as severe vomiting with dehydration, very low blood pressure, confusion, or extreme weakness. If you cannot keep liquids down, use the prescribed parenteral steroid and go to the emergency department. Always follow the written emergency plan and carry any emergency steroid instructions.