Corticosteroid Comparison chart

Steroid coverage for adult adrenal insufficient patients needing surgery is infusing 200 mg hydrocortisone over 24 hours after an initial bolus of 50‐100 mg, then taper or resume the normal dosage depending on the surgery. If major surgery is performed, a slow taper is used; if minor, resumption to normal dose within a day is fine. If the surgery itself is very minor, like an outpatient biopsy, just using a double oral dose of hydrocortisone may be sufficient coverage.