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Stress dose replacement of steroids

Stress dose replacement of steroids
Indication
Any patient who received more than 7.5 mg/day of prednisone for more than five days in the prior year
Preoperative regimen
One hour before surgery 100 mg hydrocortisone intravenously
Postoperative regimen
Day 1: 100 mg hydrocortisone intravenously every eight hours
Day 2: 100 mg hydrocortisone intravenously every 12 hours
Day 3: 100 mg hydrocortisone intravenously once in morning
If patient begins oral feedings at any time: prednisone 20 mg the first day; decrease by 5 mg/day or until chronic dose is reached
Graphic 73698 Version 3.0