MASSACHUSETTS GENERAL HOSPITAL
Department of Pharmacy
Department of Nursing
Critical Care
| Generic Name: | Hydrocortisone |
| Trade Name: | Solu-Cortef |
| Action: | Glucocorticoid |
| Indications: | Adrenal Insufficiency Chronic Obstructive Pulmonary Disease Cerebral Edema Inflammatory Diseases |
| Administration Guidelines: | |
| Usual Dosage Range and Route: | SINGLE DOSE: 50 to 100 mg IVP
every 8 hours 24 HOUR CUMULATIVE DOSE: 2 Grams |
| Special Considerations: | - Monitor serum glucose, serum
electrolytes, and serum osmolality. - Prolonged administration may require tapering of dose discontinue therapy. - May require hyperglycemic therapy in susceptible patients. - Dosage range may vary greatly depending on disease state. |
| Precautions and Side Effects: | - Electrolyte imbalance, sodium and
fluid retention - Hyperglycemia - CNS disturbances, hallucinations - Gastrointestinal disturbances - Adrenal suppression |
Rev:9/00