医師国家試験 第111回 問406

観光旅行中に倒れたという外国人女性が救急車で搬入された。大きく呼びかける とかすかに目を開くが意思の疎通は取れない。同行の友人によると持病があるとの ことで、女性のかかりつけ医から預かった手紙を差し出した。 To whom it may concern: This is to inform you that Ms. ;Birth Date 3/14/1998= has 21-hydroxylase deficiency. Her condition has been well-controlled with 9 alpha-fludrocortisone and hydrocortisone. Although she does not experience that she falls into a state of adrenal failure, especially if she is confronted with severe stress on her week-long trip to Japan. If she complains of severe fatigue, fever, anorexia, or is found unconscious, please give her intravenous hydrocortisone and sodium-containing fluid, and contact an endocrinologist immediately. Thank you for your cooperation. , M.D. まず行うべき処置はどれか。