Medical Emergencies · single question

Which of the following is an appropriate management step?

  1. Corticosteroid supplementation before high-stress dental procedures (in consultation with physician)
  2. Antihistamines
  3. Empirical broad-spectrum antibiotics
  4. Immediate ICU transfer
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Correct answer: A. Corticosteroid supplementation before high-stress dental procedures (in consultation with physician)

Corticosteroid supplementation before high-stress dental procedures Patients with Addison's may require a "stress dose" of glucocorticoids (steroid supplementation) before major surgical or high-stress procedures to prevent acute adrenal crisis. This should always be coordinated with the managing physician. They often carry injectable hydrocortisone for emergencies.

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