A patient is considered to have adrenal insufficiency
a. if the cortisol baseline value is below 10 mcg/dL.
b. if the rise from baseline cortisol level is less than 9 mcg/dL.
c. if the baseline cortisol value is between 10 and 15 mcg/dL.
d. if the rise from baseline cortisol value is between 10 and 15 mcg/dL.
A
If the baseline value is below 10 mcg/dL (in the presence of the clinical signs described previously), the patient is considered to have adrenal insufficiency. If after intravenous administration of a stimulation dose of 250 mcg of cosyntropin, the rise from baseline is less than 9 mcg/dL, the patient is considered to have adrenal insufficiency related to critical illness. This test is invalid if the patient has recently received steroids.
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