Empiric regimen for perioperative supplementation

Beta Switch Program

The Beta Switch Weight Loss Program by Sue Heintze

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A. Patients taking less then 10 mg prednisone/day do not require supplementation.

B. For patients taking greater then 10 mg prednisone/day consider:

1. For major surgery: give usual daily dose with premedications, cortisol 25 mg IV on induction, then 100 mg IV by infusion over the next 24 hours. Resume daily dose postoperatively.

2. For minor surgery: give usual daily dose with premedications and cortisol 25 mg IV on induction. Resume daily dose postoperatively.

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