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• Steroids are used in shock to minimize the impact of shock-induced dysregulation of inflammatory response – Hydrocortisone is preferred for its activity as a glucocorticoid and a mineralocorticoid • Available data on the use of hydrocortisone shows mixed benefit – Data to guide dosing is limited, use of 100 mg IV every 8 hours may have benefit over 50 mg IV every 6 hours • Use of steroids has been associated with potential risks, including gastrointestinal bleeding, hyperglycemia, hypernatremia, superinfection, etc.

Publication Date

12-7-2022

Keywords

septic shock, hydorocortisone

Disciplines

Pharmacy and Pharmaceutical Sciences

Comments

The ASHP Midyear 2022 Clinical Meeting & Exhibition, Las Vegas, NV, December 7, 2022.

Evaluation of Safety Outcomes of Two Hydrocortisone Dosing Regimens in Patients in Septic Shock

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