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一名患有原發性腎上腺功能不全的病人出現嘔吐、低血壓和意識模糊。哪項行動是優先事項？

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Primary adrenal insufficiency; unable to keep oral hydrocortisone down during gastroenteritis原發性腎上腺功能不全；腸胃炎期間無法保留口服氫化可體松 (hydrocortisone)

(데이터 없음)

(데이터 없음)

Emergency glucocorticoid, isotonic fluid, glucose support, and monitoring protocol available可使用緊急糖皮質素、等張液體、葡萄糖支持和監測方案

(데이터 없음)

1 Wait for the corticotropin stimulation result before treating. 在治療前等待促腎上腺皮質素刺激試驗結果。 ✕ 2 Administer authorized parenteral hydrocortisone and begin isotonic fluid resuscitation immediately. 立即給予經授權的腸道外氫化可體松 (hydrocortisone) 並開始等張液體復甦。 ✕ 3 Give the usual oral hydrocortisone dose after the vomiting stops. 嘔吐停止後給予常規口服氫化可體松 (hydrocortisone) 劑量。 ✕ 4 Restrict sodium and fluids until the potassium result normalizes. 限制鈉和液體，直到鉀離子結果正常化。 ✕

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