Emergency Action Plan for Pituitary Conditions

Important Contact Information

Keep these numbers readily available:

• Endocrinologist: [Insert number]
• Primary Care Provider: [Insert number]
• Emergency Room: 911
• Emergency Contact: [Insert name and number]

Warning Signs Requiring Immediate Action

Adrenal Crisis (for patients with hypopituitarism)

• Severe weakness or fatigue
• Severe abdominal pain, nausea, vomiting
• Low blood pressure (dizziness upon standing)
• Confusion or loss of consciousness
• Fever

Diabetes Insipidus Crisis

• Extreme thirst
• Severe dehydration
• Mental confusion
• High sodium levels

Emergency Steps

For Adrenal Crisis

1. Inject emergency glucocorticoid (Solu-Cortef®)

   • Location of kit: _________________
   • Dose: _________________

2. Call 911 or go to nearest ER

   • Show medical alert bracelet
   • Bring this plan
   • Inform medical staff of pituitary condition

3. Additional measures

   • Drink fluids containing electrolytes if conscious
   • Rest in recumbent position
   • Keep warm

Preventive Measures

Stress Dose Instructions

• Minor illness (fever < 101°F): Double usual glucocorticoid dose
• Moderate illness (fever > 101°F): Triple usual dose
• Severe illness/surgery: IV glucocorticoids required

Important Reminders

• Wear medical alert jewelry
• Carry emergency injection kit
• Keep extra medication supplies
• Schedule regular endocrinologist visits

Documentation

Last updated: [Date] Endocrinologist signature: _______________ Patient signature: _______________