Home
Forms Library
Adrenal Crisis Action Plan - Plano Independent School District - pisd

Adrenal Crisis Action Plan - Plano Independent School District - pisd 2025

Adrenal Crisis Action Plan - Plano Independent School District - pisd Preview on Page 1

See details

4.5 out of 5

35 votes

The document outlines the Adrenal Crisis Action Plan for students diagnosed with adrenal insufficiency within the Plano Independent School District. It details the administration of Solu-Cortef, an injectable corticosteroid, by a school nurse in case of an adrenal crisis, including symptoms that necessitate its use. The plan requires parental consent for medication administration and sharing of health information, while also emphasizing the importance of immediate medical response in emergencies.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Adrenal Crisis Action Plan - Plano Independent School District - pisd

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering the student's name and date of birth in the designated fields at the top of the form.
Fill in the grade and school information to ensure proper identification of the student.
In the section regarding medical conditions, clearly state the diagnosis that may lead to an adrenal crisis.
Check all applicable symptoms that may require administration of Solu-Cortef, and specify the dosage in ml and mg as instructed.
Complete the parent or guardian consent section, ensuring all responsibilities are acknowledged and signed.
Review all sections for accuracy before saving your changes. Ensure that emergency contact numbers are current.

Start using our platform today to easily complete and manage your Adrenal Crisis Action Plan for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the 5 Ss of adrenal crisis?

Consider the 5 Ss for the management of adrenal crisis: Salt, sugar, steroids, support, and search for a precipitating illness (usually infection, trauma, recent surgery, or not taking prescribed replacement therapy)

What is the rule of 2 for adrenal crisis?

Symptoms and signs of adrenal crisis can include any of the following: Abdominal pain or flank pain. Confusion, loss of consciousness, or coma. Dehydration. Dizziness or lightheadedness. Fatigue, severe weakness. Headache. High fever. Loss of appetite.

What is the emergency action plan for adrenal insufficiency?

If you have Addisons or adrenal insufficiency, this means you must give yourself extra steroid medication immediately, in the form of an emergency injection of hydrocortisone, either self-administered, or administered by someone close by, or a medical professional.

What are the 5s of adrenal crisis?

Equivalent Dose (mg) The Rule of Twos states that adrenal suppression may occur if a patient is taking 20 mg of cortisone or its equivalent daily, for 2 weeks within 2 years of dental treatment (see Table 1). In order to avoid an adrenal crisis, corticosteroid supplementation was advised.

What are the red flags of adrenal crisis?

The 5 Ss of adrenal crisis treatment are Salt (0.9% saline), Sugar (50% dextrose), Steroids (100 mg hydrocortisone IV once, then 200 mg over 24 hours), Support (normal saline to correct hypotension and electrolyte abnormalities), and Search (for the underlying disorder).