Adrenal Disorders Management Plan

A Comprehensive Guide for Patients with Adrenal Conditions

Endocrinology

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Last updated: Mar 24, 2025

Overview

This management plan is designed to help you effectively manage your adrenal condition. Follow these guidelines in consultation with your healthcare provider.

Daily Monitoring

  • Monitor blood pressure twice daily
  • Track energy levels (morning and evening)
  • Record any symptoms in your health diary
  • Document medication times and doses

Medication Management

Glucocorticoid Replacement

  • Take medications exactly as prescribed
  • Morning dose: Within 30 minutes of waking
  • Evening dose: As directed by your physician
  • Never skip doses

Stress Dosing Protocol

  • Double usual dose during:
    • Fever above 101°F (38.3°C)
    • Severe illness
    • Major stress
  • Triple usual dose for:
    • Severe vomiting
    • Surgery
    • Severe injury

Emergency Measures

Warning Signs

  • Severe fatigue
  • Dizziness
  • Nausea/vomiting
  • Severe abdominal pain
  • Low blood pressure

Emergency Kit Contents

  • Injectable hydrocortisone
  • Oral stress-dose medications
  • Medical ID information
  • Emergency contact numbers

Lifestyle Modifications

  1. Maintain regular sleep schedule
  2. Balanced nutrition with adequate salt intake
  3. Moderate exercise as tolerated
  4. Stress management techniques

Regular Monitoring

Laboratory Tests

  • Cortisol levels
  • Electrolytes
  • ACTH levels
  • Renin/aldosterone when applicable

Follow-up Schedule

  • Endocrinologist visits every 3-6 months
  • Annual comprehensive review
  • Regular medication adjustments as needed

Additional Resources

  • Support group information
  • Educational materials
  • Emergency protocols
  • Physician contact information

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