Guideline · Consensus statement
Neonatal adrenal insufficiency: Turkish Neonatal and Pediatric Endocrinology and Diabetes Societies consensus report.
- Cardiovascular
- Fluids and electrolytes
- Medical
- Nursing
- Renal and metabolic
- Shock
This guideline is from 2018, more than five years ago. Check whether a newer version exists and which version your unit follows.
Summary
Consensus report on recognising and managing adrenal insufficiency in the newborn, where clinical signs are non-specific and cortisol reference values differ from older children. It outlines suggestive features such as dehydration, hyperpigmentation, hypoglycaemia, hyponatraemia, hyperkalaemia, metabolic acidosis and vasopressor-resistant hypotension, and discusses diagnostic testing including cortisol and ACTH measurement, steroid profiling and ACTH stimulation testing. Treatment guidance covers glucocorticoid therapy in refractory shock, maintenance hydrocortisone and mineralocorticoid replacement, and long-term follow-up with stress dosing. Useful for PICU and neonatal teams managing shock unresponsive to vasopressors and electrolyte disturbance.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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