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Re: stress dose steroids From: Gail Waldby (gwaldby@willinet.net) Mon Oct 14 16:41:39 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby: "Re: OB: What can pregnant women eat?" Previous message: Lynn D. Montgomery, M.D.: "Re: stress dose steroids" In reply to: Richard Chudacoff, MD: "stress dose steroids" Richard, I don't have access to the current articles at the moment, but they show that patients need far less extra steroids than we used to think. On the other hand, the old regime of hydrocortisone 100 mg before, during and after surgery, then q8 hours for 24 hours, then 50 mg q8 hours for 24 hours, then 25 mg q8hours for 24 days followed by her usual dose is okay too. I hope the Crohn's disease isn't stuck to her uterus. My recollection is that chronic steroids aren't helpful in Crohn's. Gail Waldby, MD Huron Clinic SD 10/14/2002 4:23:16 PM, "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com> wrote: > > Date: Mon, 14 Oct 2002 16:23:16 -0500 > From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com> > > To: Multiple recipients of list OB-GYN-L <ob-gyn- > l@mail.medispecialty.com> > Subject:stress dose steroids > > Quick question: when performing a transvaginal hysterectomy and the patient > > who takes Prednisone 5 mg every day for Crohn’s disease. Does she needs > > stress dose steroids, and if so how much, and when? > > Richard Chudacoff, MD, FACOG > > Chudacoff Obstetrics & Gynecology, PLLC > > 15200 Southwest Freeway, #270 > > Sugar Land, TX 77478 > > Tel: 281-277-3900 > > Fax: 281-277-3901 > > rchudacoff@mylinuxisp.com > > Richard.Chudacoff@obgyn.net > > http://www.mdhub.com/281-277-3900 > > http://www.chudacoffobgyn.yourmd.com > > ********************************************************************** > > Neither the confidentiality nor the integrity of this message > > can be guaranteed following transmission on the Internet. > > ********************************************************************** > > > Next message: Gail Waldby: "Re: OB: What can pregnant women eat?" Previous message: Lynn D. Montgomery, M.D.: "Re: stress dose steroids" In reply to: Richard Chudacoff, MD: "stress dose steroids"

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