Enoxparin or minihep. Core and peripheral temperatures. Volume loading is usually necessary. At this stage vasoactive agents are withdrawn. There is a strong association with other autoimmune disorders such as thyroid disease, diabetes and myasthenia gravis.
Main problem is cortisol deficiency.
Weight loss, anorexia, diarrhoea, vomiting, abdominal pain. Poor stress response. Hypovolaemia, hypotension and intolerance of fluid loading. Problems associated with chronic steroid therapy. Fludrocortisone up to 150 m g once daily.