A patient who has taken high-dose corticosteroids for several months suddenly stops them. The patient becomes weak, dizzy and hypotensive. Which action is the priority?

Correct answer: A. Assess circulation and notify the provider urgently

  • A. Assess circulation and notify the provider urgently
  • B. Encourage ambulation to improve blood pressure
  • C. Restrict fluids to reduce adrenal workload
  • D. Give the next steroid dose only if fever develops

Explanation

Weakness, dizziness and hypotension after abrupt steroid withdrawal suggest adrenal insufficiency, which can threaten circulation. The priority is circulation assessment and urgent escalation; corticosteroids should not be stopped suddenly without a planned taper.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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The endocrine system covers hormone-producing glands including the pituitary, thyroid, parathyroids, adrenals, pancreas, pineal gland, ovaries and testes. It explains hormone classes, target-cell responses, feedback control, and the functions of hormones such as insulin, thyroxine, cortisol, growth hormone and ADH, which is often confused with a kidney-produced substance.

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