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Adrenal Insufficiency Emergency Action Plan and Medication Order for School/Childcare Date: ___ Name:Date of Birth:School: ___Grade: ___Emergency Contact:Phone:___Treating Provider: ________ ___Place
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How to fill out adrenal insufficiency emergency action

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How to fill out adrenal insufficiency emergency action

01
Identify the signs and symptoms of adrenal insufficiency such as fatigue, weakness, low blood pressure, and abdominal pain.
02
Administer emergency injectable cortisol or hydrocortisone if the person is unable to take oral medications.
03
Seek emergency medical attention if the person is experiencing severe symptoms or is unresponsive to treatment.
04
Ensure the person is wearing a medical alert bracelet or necklace indicating their condition.
05
Educate family members and caregivers on how to recognize and respond to adrenal insufficiency emergencies.

Who needs adrenal insufficiency emergency action?

01
Individuals with a known diagnosis of adrenal insufficiency such as those with Addison's disease.
02
People who have experienced adrenal crisis in the past.
03
Those taking corticosteroid medications for conditions such as asthma, rheumatoid arthritis, or lupus.
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Adrenal insufficiency emergency action refers to a set of immediate procedures and treatments required to manage acute adrenal crisis in individuals with adrenal insufficiency.
Individuals diagnosed with adrenal insufficiency or their caregivers are required to file the adrenal insufficiency emergency action.
To fill out the adrenal insufficiency emergency action, individuals should provide personal information, medical history, medications, and emergency contact details in the designated form.
The purpose of adrenal insufficiency emergency action is to ensure timely and appropriate response to adrenal crises, thus preventing severe health complications.
The information that must be reported includes patient details, diagnosis, treatment protocols, emergency contacts, and any necessary medication dosages.
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