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Pharmacology Adrenal 82811ce4

A 50 year old man with advanced tuberculosis has developed signs of severe acute adrenal insufficiency. The patient should be treated immediately with a combination of:

A
Aldosterone and fludrocoisone
B
Triamcinolone and dexamethasone
C
Coisol and fludrocoisone
D
Dexamethasone and metyrapone
High-Yield Explanation
Patient should be given both mineralocoicoids as well as glucocoicoid. - Aldosterone and Fludrocoisone both are mineralocoicoids. -Highest mineralocoicoid activity is seen with Aldosterone - Triamcinolone and Dexamethasone both are glucocoicoids. - Coisol is glucocoicoid and Fludrocoisone is a mineralocoicoid. - Dexamethasone is a glucocoicoid whereas Metyrapone is anti-glucocoiocid.

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