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Hydrocortisone Medication Instructions

(757) 668-7000

Hydrocortisone is given to replace the cortisol you child needs. Take this medication as directed. This medication works best when there is a constant amount in the blood stream.

Store your hydrocortisone liquid in the refrigerator. Avoid freezing. Shake well before giving. This medicine loses its effectiveness after 30 days. Discard the medicine after 30 days, even if you have medicine left in the bottle.

Keep out of reach of children. Do not share this medicine with others.

Tell your health care provider about any unusual or allergic reactions to medications, foods, preservatives or dyes.

Inform all health care providers that your child takes this medicine. This is especially important if your child is having surgery, suffering from a serious injury or infection or receiving immunizations.

Do not stop this medication without talking to your child’s endocrinologist.

Date: _____________________________
MD: _______________________________

Patient: ___________________________________________________________

Medication: Hydrocortisone Suspension 2 mg/ml

Dose/Times: AM ________ ml    PM ________ ml

Stress Dose: ______________________ml every ___________ hours

Solu-Cortef® Injectible : ________________ml by IM injection– a shot into the muscle

  • If your child is sick, give the stress dose.
  • If your child is vomiting, give the Solu-Cortef® injectable medicine. See the next page for instructions for giving the shot.
  • Notify the endocrinologist if you need to give stress dose or the shot.

MD Office: 757-668-7237 (non urgent calls)

Nurse line: 757-668-8571 (non urgent calls)

Emergency calls: 866-883-9886 (nights, weekends & ALL EMERGENCIES)

Solu-Cortef® Injectible Instructions

  • Gather supplies: medication, syringe with needle, alcohol.
  • Wash hands.
  • Remove seal from bottle.
  • Twist rubber stopper and push downward.
  • Shake medicine gently to mix.
  • Wipe off rubber stopper with alcohol in a circular motion.
  • Pull back plunger on syringe to __________ ml.
  • Insert the needle into the small circle on top of the rubber stopper and inject air into the bottle.
  • Withdraw ____________ ml from the bottle. Make sure there are not large air bubbles in the syringe. It may be necessary to pull a little extra medicine into the syringe, tap the syringe and inject the air bubble and the extra medicine into the bottle.
  • Select the injection site. The injection should be should be given in the middle of the thigh, halfway between the groin and knee.
  • Cleanse the site with alcohol in a circular motion, from the inside to outside. Allow to dry.
  • Pinch up the site and insert the needle at a 90 degree angle. Pull back slightly on the plunger, checking to see if blood is present. If not, proceed to next step.
    NOTE: If blood appears, withdraw needle, it may be in a vein. Carefully put the cap back on the needle and then remove the needle from the syringe. Attach a new sterile needle and restart the procedure from Select the injection site.
  • With even pressure on the plunger, inject the medicine.
  • Withdraw needle and put pressure on the site with a dry cotton ball or gauze pad.
  • Dispose of the syringe in a sturdy plastic bottle with a screw top such as a laundry soap bottle, water bottle or soda bottle or a sealed milk carton.

The endocrinologist should be notified anytime stress dosing or a shot is given.


Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.

Reviewed: 06/2008

(757) 668-7000