Steroid Replacement

(AAGBI guidelines)

Thresholds:

Duration

· >1 month

Dose

· Adults: >5mg/day prednisolone

· Children: >10-15mg/day hydrocortisone

Stress dosing

· Hydrocortisone 100mg bolus

· Hydrocortisone 200mg/24h infusion (!)

· Switch to oral when feasible

Weaning

· Minor surgery (incl scopes, labour): return to usual after 2 days

· Major surgery: return to usual after 1 week