PediRounds

Hydrocortisone (adrenal crisis) — paediatric dose

Weight-based dosing for Hydrocortisone (adrenal crisis) in children. Category: Endocrine.

Dose2 mg/kg IV stat (max 100 mg), then 6H; higher in shock
Per kg2 mg/kg
Maximum100 mg
RouteIV
Frequency6H

Clinical notes

Give promptly in suspected adrenal crisis alongside fluids and glucose.

Sources

  • Nelson Textbook of Pediatrics, 21st edition
  • The Harriet Lane Handbook, 22nd edition
  • BNF for Children
  • PALS 2020 guidelines