They explain what level of extra medication and
monitoring you will need in the event of different types of
surgery or dental work. If you are having elective
surgery or an invasive procedure in hospital, for example, a hip operation,
a colonoscopy it
would be sensible to give your specialist consultant and anaesthetist
a copy of the guidelines well in advance of your surgery
date. It is also advisable to take the guidelines with
you when you go in to hospital and discuss them with
your nursing staff, so that they are aware of the
post-operative care you need. You can order a complete
set of hospital documentation, including copies of the
nurses leaflet and steroid alert stickers, from
The Shop here...
a. List the ten main types of surgical procedure, each
requiring a different level of peri-operative steroid cover
b. Specify the glucocorticoid medication and
post-operative treatment requirements for each type of
procedure in an easy-to-read table
c. Bring together on the timing and the most efficient
route for administration of steroid cover during the
stress of surgical procedures.
d. Suggest a risk-free level of steroid cover, that
should be sufficient for a patient with additional
These guidelines apply to all individuals who are
steroid-dependent, so they are relevant to people with
secondary adrenal suppression or hypopituitarism as well
as those with primary adrenal loss (Addison's).
leaflet is © ADSHG March 2006. It may be copied for
personal use or by medical practitioners for the
education of their patients. Otherwise it should not be
reproduced without written permission of the ADSHG.