A patient with a long-standing diagnosis of Addison's disease has been taking hydrocortisone for several years, achieving adequate symptom control
In recent weeks, the patient has experienced profound stress resulting from the collapse of his small business and subsequent conflict with his business partner. How might the presence of these stressors affect the patient's medication regimen? A) The patient should take his scheduled hydrocortisone later in the day.
B) The ratio of mineralocorticoids to glucocorticoids should be adjusted.
C) The patient's hydrocortisone should be temporarily withheld.
D) The patient may temporarily require a higher dose of hydrocortisone.
D
Feedback:
During times of increased stress, the dosage of the medication may need to be increased. There would be no need to change the ratio of mineralocorticoids to glucocorticoids or to take the medications later in the day.
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