Emergency Action Plan for Hormone-Related Crises

A Guide for Patients with Endocrine Disorders

Endocrinology

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Last updated: Mar 24, 2025

Important Contact Information

  • Primary Endocrinologist: _________________ Phone: _________________
  • Emergency Contact: _________________ Phone: _________________
  • Nearest Emergency Department: _________________ Phone: _________________

Warning Signs Requiring Immediate Action

Adrenal Crisis

  • Severe weakness or fatigue
  • Severe abdominal pain, nausea, vomiting
  • Dizziness or fainting
  • Confusion or disorientation
  • Low blood pressure

Diabetic Emergency

  • Blood glucose > 250 mg/dL with ketones
  • Blood glucose < 70 mg/dL with confusion
  • Severe thirst or dehydration
  • Rapid breathing
  • Fruity breath odor

Thyroid Storm

  • High fever
  • Rapid heart rate
  • Extreme agitation
  • Tremors
  • Confusion

Emergency Actions

  1. For Adrenal Crisis:

    • Inject emergency hydrocortisone
    • Call 911 immediately
    • Take oral hydrocortisone if conscious
  2. For Diabetic Emergency:

    • Check blood glucose
    • Follow sick day protocol
    • Use glucagon kit if hypoglycemic
    • Seek immediate medical care
  3. For Thyroid Storm:

    • Call 911
    • Take prescribed beta-blockers if available
    • Cool body temperature

Emergency Kit Contents

  • Injectable hydrocortisone
  • Oral glucocorticoids
  • Glucagon kit
  • Blood glucose meter
  • Ketone test strips
  • Emergency medical ID card

Additional Instructions

  • Always wear medical alert jewelry
  • Keep emergency kit updated and accessible
  • Review plan with family members
  • Replace expired medications promptly

_Patient Name: _________________ Date: _________________ Endocrinologist Signature: _________________

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