Day Before Surgery |
|
Morning of Surgery |
|
During Surgery |
|
After Surgery |
|
Day Before Surgery |
|
Morning of Surgery |
|
During Surgery |
|
After Surgery |
|
Day Before Surgery |
|
Morning of Surgery |
|
During Surgery |
N/A. Note: MRI scans using non-anaesthetic sedation (e.g. chloral hydrate) does not merit use of IV hydrocortisone – sick day dosing with oral hydrocortisone is sufficient. |
After Surgery |
|
Drug |
Dose equivalent to 5mg of prednisolone |
Betamethasone |
750 mcg |
Cortisone acetate |
25 mg |
Deflazacort |
6 mg |
Dexamethasone |
750 mcg |
Hydrocortisone |
20 mg |
Methylprednisolone |
4 mg |
Prednisone |
5 mg |
Triamcinolone |
4 mg |
Weight |
Total dose in 24 hours |
Infusion Rate (mix 50ml 0.9% sodium chloride with 50mg hydrocortisone to give 1mg/ml solution) |
< 10kg |
25mg |
1ml/hr |
10.1-20kg |
50mg |
2ml/hr |
20.1-40kg |
100mg |
4ml/hr |
40.1-70kg |
150mg |
6ml/hr |
Over 70kg |
200mg |
8ml/hr |
Age |
IM Hydrocortisone Dose (mg) |
<1 year |
25 |
1-5 years |
50 |
>5 years |
100 |
Document Version:
2.0 Lead Author: Dr Anitha Kumaran, Consultant in Paediatric Endocrinology Additional Author: Dr Gemma Watts, Consultant Paediatrician Dr David Lim, SpR Paediatric Endocrinology |
Approving Network:
Wessex Paediatric Endocrine Network Date of Approval: 11/2023 Review Date: 02/2026 |
PIER Contact |
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