| Adults . | . |
|---|---|
| Slight injury, straining evening events, activity exceeding the usual | Possibly add 5-10 mg HC |
| Infection with mild to moderate illness without fever or significant distress (severe physical stress), severe pain, significant stress (bereavement, exam, wedding), dental procedures, minor outpatient procedures | Double daily dose, possibly add 5-10 mg HC in the evening |
| Acute illness and/or fever with severe feeling of illness | Triple daily dose or alternatively 30-20-10 mg HC (at daily dose ≤ 20 mg). Urgently seek medical help! |
| Persistent vomiting/diarrhoea or high fever (>39 °C) with severe feeling of illness | 100 mg HC (or other GC) as a self-injection i.m., s.c., or i.v. Seek medical attention immediately! |
| Children | |
| Mild mental or physical stress eg, competition, tournament, long hiking tour, long exam such as Abi exam or final exam, light dental treatment (eg, filling), emotional stress (bereavement, wedding) | Additional intake of a single dose, such as the midday or evening dose corresponding to the event |
| Mild infection with temperature < 38.5 °C and mild feeling of illness | Double daily dose |
| Illness with fever > 38.5 °C | >38.5 °C triple daily dose, >39.5 °C quadruple daily dose, dose increase until recovery, then return to standard dose within 1-2 days |
| In case of severe feeling of illness (regardless of temperature), reduction of general condition or change of consciousness, shock, trauma | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: Suppositories, not for diarrhoea!) seek medical attention after injection. Possibly continuation of HC therapy 100 mg/m2/24 h i.v. and IV therapy with NaCl 0.9%, glucose) |
| If oral intake is not possible (eg, due to gastrointestinal infection with vomiting) | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: GC Suppository,100 mg, not for diarrhoea! Seek medical attention after injection! |
| Adults . | . |
|---|---|
| Slight injury, straining evening events, activity exceeding the usual | Possibly add 5-10 mg HC |
| Infection with mild to moderate illness without fever or significant distress (severe physical stress), severe pain, significant stress (bereavement, exam, wedding), dental procedures, minor outpatient procedures | Double daily dose, possibly add 5-10 mg HC in the evening |
| Acute illness and/or fever with severe feeling of illness | Triple daily dose or alternatively 30-20-10 mg HC (at daily dose ≤ 20 mg). Urgently seek medical help! |
| Persistent vomiting/diarrhoea or high fever (>39 °C) with severe feeling of illness | 100 mg HC (or other GC) as a self-injection i.m., s.c., or i.v. Seek medical attention immediately! |
| Children | |
| Mild mental or physical stress eg, competition, tournament, long hiking tour, long exam such as Abi exam or final exam, light dental treatment (eg, filling), emotional stress (bereavement, wedding) | Additional intake of a single dose, such as the midday or evening dose corresponding to the event |
| Mild infection with temperature < 38.5 °C and mild feeling of illness | Double daily dose |
| Illness with fever > 38.5 °C | >38.5 °C triple daily dose, >39.5 °C quadruple daily dose, dose increase until recovery, then return to standard dose within 1-2 days |
| In case of severe feeling of illness (regardless of temperature), reduction of general condition or change of consciousness, shock, trauma | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: Suppositories, not for diarrhoea!) seek medical attention after injection. Possibly continuation of HC therapy 100 mg/m2/24 h i.v. and IV therapy with NaCl 0.9%, glucose) |
| If oral intake is not possible (eg, due to gastrointestinal infection with vomiting) | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: GC Suppository,100 mg, not for diarrhoea! Seek medical attention after injection! |
Abbreviations: GC, glucocorticoid; HC, hydrocortisone; i.m., intramuscular; i.v., intravenous; NaCl, sodium chloride; s.c., subcutaneous.
| Adults . | . |
|---|---|
| Slight injury, straining evening events, activity exceeding the usual | Possibly add 5-10 mg HC |
| Infection with mild to moderate illness without fever or significant distress (severe physical stress), severe pain, significant stress (bereavement, exam, wedding), dental procedures, minor outpatient procedures | Double daily dose, possibly add 5-10 mg HC in the evening |
| Acute illness and/or fever with severe feeling of illness | Triple daily dose or alternatively 30-20-10 mg HC (at daily dose ≤ 20 mg). Urgently seek medical help! |
| Persistent vomiting/diarrhoea or high fever (>39 °C) with severe feeling of illness | 100 mg HC (or other GC) as a self-injection i.m., s.c., or i.v. Seek medical attention immediately! |
| Children | |
| Mild mental or physical stress eg, competition, tournament, long hiking tour, long exam such as Abi exam or final exam, light dental treatment (eg, filling), emotional stress (bereavement, wedding) | Additional intake of a single dose, such as the midday or evening dose corresponding to the event |
| Mild infection with temperature < 38.5 °C and mild feeling of illness | Double daily dose |
| Illness with fever > 38.5 °C | >38.5 °C triple daily dose, >39.5 °C quadruple daily dose, dose increase until recovery, then return to standard dose within 1-2 days |
| In case of severe feeling of illness (regardless of temperature), reduction of general condition or change of consciousness, shock, trauma | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: Suppositories, not for diarrhoea!) seek medical attention after injection. Possibly continuation of HC therapy 100 mg/m2/24 h i.v. and IV therapy with NaCl 0.9%, glucose) |
| If oral intake is not possible (eg, due to gastrointestinal infection with vomiting) | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: GC Suppository,100 mg, not for diarrhoea! Seek medical attention after injection! |
| Adults . | . |
|---|---|
| Slight injury, straining evening events, activity exceeding the usual | Possibly add 5-10 mg HC |
| Infection with mild to moderate illness without fever or significant distress (severe physical stress), severe pain, significant stress (bereavement, exam, wedding), dental procedures, minor outpatient procedures | Double daily dose, possibly add 5-10 mg HC in the evening |
| Acute illness and/or fever with severe feeling of illness | Triple daily dose or alternatively 30-20-10 mg HC (at daily dose ≤ 20 mg). Urgently seek medical help! |
| Persistent vomiting/diarrhoea or high fever (>39 °C) with severe feeling of illness | 100 mg HC (or other GC) as a self-injection i.m., s.c., or i.v. Seek medical attention immediately! |
| Children | |
| Mild mental or physical stress eg, competition, tournament, long hiking tour, long exam such as Abi exam or final exam, light dental treatment (eg, filling), emotional stress (bereavement, wedding) | Additional intake of a single dose, such as the midday or evening dose corresponding to the event |
| Mild infection with temperature < 38.5 °C and mild feeling of illness | Double daily dose |
| Illness with fever > 38.5 °C | >38.5 °C triple daily dose, >39.5 °C quadruple daily dose, dose increase until recovery, then return to standard dose within 1-2 days |
| In case of severe feeling of illness (regardless of temperature), reduction of general condition or change of consciousness, shock, trauma | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: Suppositories, not for diarrhoea!) seek medical attention after injection. Possibly continuation of HC therapy 100 mg/m2/24 h i.v. and IV therapy with NaCl 0.9%, glucose) |
| If oral intake is not possible (eg, due to gastrointestinal infection with vomiting) | i.m. or s.c. application of HC: Infants: 25 mg, nursery and primary school age: 50 mg, adolescents: 100 mg (alternative: GC Suppository,100 mg, not for diarrhoea! Seek medical attention after injection! |
Abbreviations: GC, glucocorticoid; HC, hydrocortisone; i.m., intramuscular; i.v., intravenous; NaCl, sodium chloride; s.c., subcutaneous.
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