Procedurer The test measures the ability of the adrenal cortex to respond to maximal ACTH stimulation, and it is rarely the injection itself that determines…

…threatening attack. 6. Give a systemic steroid early. 7. Insert intravenous access, but do not let blood sampling or cannulation delay inhaled treatment. 8. Reassess…

…latter. The treatment is also time limited by its very nature: a patient who has not responded within a couple of hours should be intubated…

…and ACTH first only if this does not delay treatment. Plus fluid and glucose Adrenal crisis: hypotension that does not respond to fluid, abdominal pain…

…bolus, beginning with 500 ml of normal saline over 5 10 minutes, adjusting based on response. If hypotension persists despite fluid and epinephrine administration, consider…