A 25-year-old male has been taking 40 mg of prednisone PO qod for ulcerative colitis for 5 years. He undergoes an uneventful colectomy with endorectal pull-through and an ileoanal anastomosis. Which of the following statements regarding steriod management are correct?
A. On the day of surgery he should receive 100 mg hydrocortisone IV q6h
B. The postoperative steroid dose should be halved q 12 hours to reduce the risk of infectious complications and improve would healing
C. Prophylactic treatment with a somatostatin analogue will reduce the risk of postoperative pancreatitis
D. Exogenous steroid replacement can be stopped after 3 months
Answer:A
A 25-year-old male has been taking 40 mg of prednisone PO qod for ulcerative colitis for 5 years. He undergoes an uneventful colectomy with endorectal pull-through and an ileoanal anastomosis. Which of the following statements regarding steriod management are correct?
A. On the day of surgery he should receive 100 mg hydrocortisone IV q6h B. The postoperative steroid dose should be halved q 12 hours to reduce the risk of infectious complications and improve would healing C. Prophylactic treatment with a somatostatin analogue will reduce the risk of postoperative pancreatitis D. Exogenous steroid replacement can be stopped after 3 months