NADF Wednesday Q+A. Q: I have a total hip replacement and due for the second one. After watching a presentation during the NADF virtual conference on how to inject Solu-Cortef, I have concerns that the injection could hit the prosthesis. Can it be given in the gluteus muscle? A:Giving the Solu-Cortef emergency injection in the thigh as illustrated in NADF videos and other materials would not be anywhere near the hip replacement. That is the best place for an individual to give the injection. If someone else gives it, the gluteus is OK, but not better than the thigh. Dr. Margulies, Medical Director of NADF. www.NADF.us.

Should patients with #HipReplacement take any precautions when injecting #SoluCortef? Dr. Margulies advises business as usual.

A video still from "Solu-Cortef Injection Instructions" video with text, "Calling all caretakers of children with adrenal insufficiency. Are you ready to help in case of adrenal crisis? Check out “Solu-cortef Injection Instructions” on our YouTube page for step-by-step instructions to administer this life-saving hydrocortisone emergency injection to children. bit.ly/sceipi. #AADAM2025 April Is Adrenal Disease Awareness Month. NADF.us/april-calendar."

Parents, teachers, school nurses, and others who care for children with #AdrenalInsufficiency - are you prepared to administer #solucortef in case of #AdrenalCrisis?

Visit bit.ly/sceipi for step-by-step instructions on administering this life-saving emergency injection.

#AADAM2025

Wednesday Q+A: Q: What temperature does my solu-cortef need to be kept at? I'm traveling to warmer climates and want to make sure my medication remains stable. A: Solu-cortef should be stored at room temperature: 68-77 degrees Fahrenheit. Once reconstituted, it should be administered immediately. You should keep it from ever getting above 86 degrees. Dr. Margulies, Medical Director of NADF. www.NADF.us

Wednesday Q+A with Dr Margulies: What temperature should #SoluCortef be kept at? Inquiring travelers wish to know!

We recommend room temp (68-77F) and never higher than 86F. Reconstituted solu-cortef should be used immediately.

Got your own Q+A? Let us know! Email NADFSupport@NADF.us

NADF Wednesday Q&A. Q: I was sick for 2.5 weeks with the flu, bronchitis and walking pneumonia. I had severe fatigue, confusion, low blood pressure and sugar, weakness, but no vomiting or diarrhea. I took extra hydrocortisone during the illness, but at what point do I need to give myself the IM Solu-Cortef? If Solu-Cortef is used, do I have to go to the ER afterwards? See next slide for answers. www.NADF.us

NADF Wednesday Q&A. See previous slide for question. A: IM Solu-Cortef should be used when there is an acute emergency, not to treat chronic or subacute symptoms. If oral steroids work, then there is no need for an injection. If the injection does become necessary as a bridge to prevent shock or loss of consciousness, then immediate care in an emergency department is the next step. With the diagnosis of secondary adrenal insufficiency, always consider coexisting medical issues that may be contributing to the recent symptoms and get medical advice about managing them. Dr. Margulies, Medical Director of NADF. www.NADF.us

Wednesday Q&A from #NADFAdrenal: "At what point should I administer #SoluCortef?"

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