Replacement maintainance steroid dose 7.5 prednisoloneMG daily

replacement maintainance steroid dose 7.5 prednisoloneMG daily

1 MG prednisolone = 4 MG hydrocortisone

Do not forget to give STEROIDS IN

1- cord compression by malignant metastasis (high dose)

2- SVC compression and obstruction .

3- PCP with low pao2 ( less than 9.3 kpa)

4- TB meningitis with anti TB ttt

5- cryptococcal meningitis (with HIV) with high ICP features plus antifungal ttt

6- Space occupying lesion with pressure signs or midline shifts ( abscess or tumor )

7- meningococcal septicemia with evidence of adrenocortical hemorrhage ( shock , hypotension , hyponatremia )

8- Myxedema coma with possible associated Addison crises ( steroids before thyroxine ).

9- high dose IV steroid with acute GVHD , lupus activity ( with cyclophosphamide ) , and IBD relapse