What is a primary treatment for an Addisonian Crisis?

The primary treatment for an Addisonian crisis is the administration of IV hydrocortisone. An Addisonian crisis is a life-threatening condition characterized by an acute adrenal insufficiency where the body cannot produce enough cortisol, particularly during times of stress, illness, or trauma. Hydrocortisone, a synthetic form of cortisol, is administered intravenously to quickly replenish the deficient hormone levels, thus helping to stabilize the patient and address the severe symptoms associated with adrenal crisis, such as hypotension and shock.

Oral corticosteroids are not appropriate for an acute crisis because they take longer to be absorbed and start acting in the body. Beta-blockers are used for managing specific symptoms like tachycardia but do not address the underlying cortisol deficiency. Calcium supplements are not related to the immediate treatment of an Addisonian crisis, as they do not play a role in restoring adrenal function or cortisol levels. The prompt use of IV hydrocortisone is essential for the critical care management of this situation.