In Addisonian crisis, which agent is commonly administered to correct hypoglycemia and provide glucocorticoid effect?

In Addisonian crisis, which agent is commonly administered to correct hypoglycemia and provide glucocorticoid effect?

• A. dextrose
• B. insulin
• C. lorazepam
• D. albuterol

Answer: (A)

In Addisonian crisis the body lacks cortisol, which helps maintain blood glucose. The immedi ate priority is to correct low blood sugar quickly while also beginning steroid replacement. The fastest way to raise glucose levels is with intravenous dextrose, which directly supplies energy to the brain and other tissues and helps reverse hypoglycemia right away. After stabilization, glucocorticoid replacement is started (for example, hydrocortisone) to provide the needed cortisol effect, but among the options given, dextrose is the agent that directly addresses the hypoglycemia component. The other choices don’t correct low glucose or provide a glucocorticoid effect: insulin would worsen hypoglycemia, lorazepam is a sedative, and albuterol is a bronchodilator.

In Addisonian crisis the body lacks cortisol, which helps maintain blood glucose. The immedi ate priority is to correct low blood sugar quickly while also beginning steroid replacement. The fastest way to raise glucose levels is with intravenous dextrose, which directly supplies energy to the brain and other tissues and helps reverse hypoglycemia right away. After stabilization, glucocorticoid replacement is started (for example, hydrocortisone) to provide the needed cortisol effect, but among the options given, dextrose is the agent that directly addresses the hypoglycemia component. The other choices don’t correct low glucose or provide a glucocorticoid effect: insulin would worsen hypoglycemia, lorazepam is a sedative, and albuterol is a bronchodilator.