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OCR: 00mg In an acute adrenal crisis, hydrocortison hemisuccinate should be administered ( rrect intravenously), together with saline to c glycaemia, sodium losses and dextrose to treat hypo o be given Intramuscular hydrocortisone should al atient is (100mg at six- hour intervals) until the able to take oral therapy, at which time 3 20mg at hydrocortisone is given (40mg on wakir halved. When the patient is well, the oral dose i 1800). itate the Since intercurrent infections often preci be activelycrisis, evidence for any infections should atment sought and the appropriate antibiotic tre nise that a given. It is, however, important to recog fficiency pyrexia per se may occur in adrenal insu without any superadded infection, See earlier: · Glucocorticoid Replacement Mineralocorticoid Replacement