Corticosteroid Insufficiency in the Critically Ill Patient

*Please take the quiz below the video to receive credit.



1. About 80-90% of cortisol is available in the blood, whereas the remaining 10-20% is bound to a protein called corticosteroid binding globulin (CBG)(Required)
2. Critical illness affects cortisol in all of the following ways except:(Required)
3. Which of the following is a symptoms of Critical Illness Related Corticosteroid Insufficiency (CIRCI)?(Required)
4. In the setting of septic shock refractory to pressor use and fluid administration, ACTH stimulation test is necessary prior to starting steroid therapy.(Required)
5. Steroid therapy in early sepsis does not stop progression into septic shock, and should not be used(Required)
6. Patients with persistent Acute Respiratory Distress Syndrome ARDS display all of the following except(Required)
7. Which of the following is false in terms of steroid use and ARDS?(Required)
8. Steroids given during and after cardiac arrest has shown:(Required)
9. Free cortisol has a significantly higher diagnostic benefit than total cortisol, and should be used due to its convenience and cost effectiveness.(Required)
10. Fludrocortisone should be considered when hyperkalemia and hyponatremia are present for which of the following reasons?(Required)