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B3. Adrenal insufficiency

(1) 원인 1 Abrupt physiologic stress in the face of chronic glucocorticoid therapy with
pharmacologic adrenal suppression (common) 2 Adrenal tissue replacement by metastases (uncommon)
(2) 증상 : Mild hypoglycemia, hyponatremia, hypotension refractory to volume loading
and vasoconstrictor therapy
(3) 치료 1 IV rehydration with normal saline 2 Hydrocortisone 100 to 150 mg IV followed by infusion 100 to 200 mg IV for 6h