28 yo patient, Addison's disease, presents w/ abd. pain and is hypotensive to systolic pressure of 88 mmHg. He has 2 week history of worse nonproductive dry cough, sore throat, malaise, headache. Complains of constant chills? What to do next?

b- check glucose
c- hydrocortisone
d-IV fluids
e- chest x ray

a) Give IV fluids, although hydrocortisone is indicated to prevent adrenal crisis in patients w/ primary adrenal insufficiency, Airway, Breathing, Circulation must first be addressed. As the patient is able to speak, his airway is intact. However, the systolic blood pressure of 88 mm Hg requires fluid resuscitation.