How do I install the Ata Major Stress Hc Regimen skill?

Run npx skillmds@latest add dromlakhani/ata-major-stress-hc-regimen in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Ata Major Stress Hc Regimen safe to use?

SkillMD's automated safety review verdict for this skill is PASS. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Ata Major Stress Hc Regimen?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Ata Major Stress Hc Regimen free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Ata Major Stress Hc Regimen?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Ata Major Stress Hc Regimen by dromlakhani

Name: Ata Major Stress Hc Regimen
Rating: 4.666666666666667 (3 reviews)
Author: dromlakhani

Ata Major Stress Hc Regimen

Administers 100-mg hydrocortisone IV bolus followed by continuous IV infusion of 200 mg HC per 24 hours (alternatively 50 mg IV every 6 hours) for patients undergoing major surgical stress. Use when managing patient with major surgical stress; triggers include patient undergoing major surgery.

dromlakhani Updated Aug 19, 2026 10 repo stars

File contents

Administer 100-mg hydrocortisone IV bolus followed by continuous infusion for major surgical stress

STEP 1 — Gather Information

Confirm diagnosis of central adrenal insufficiency (AI) or high suspicion, verify patient is undergoing major surgical stress, review current glucocorticoid regimen, assess for signs of adrenal crisis, and check fluid status and glucose; if AI confirmed/suspected and major surgical stress present, proceed to Step 2.

STEP 2 — Rule In / Rule Out

Is the patient diagnosed with central AI or has high suspicion of AI? If yes, proceed to Step 3; if no, consider standard perioperative glucocorticoid dosing or hold stress dose and reassess.

STEP 3 — Classify or Stratify

Classify stress level as major surgical stress (e.g., bowel resection, cardiac surgery, major orthopedic procedure) versus minor/moderate stress; if major, continue to dosing decision.

STEP 4 — Decide

Administer 100 mg hydrocortisone IV bolus, then start continuous IV infusion of 200 mg HC per 24 hours (or 50 mg IV every 6 hours) and monitor response.

Clinical Guardrails / Mimics / Pitfalls

Avoid excessive dosing that may cause hyperglycemia, fluid overload, or infection; do not use dexamethasone in pregnancy; taper glucocorticoids postoperatively once HPA axis recovers; monitor for signs of adrenal insufficiency despite stress dosing; consider renal function when adjusting infusion rate; ensure patient has emergency glucocorticoid kit.

Concrete Clinical Example

A 48-year-old man with known central AI undergoing open abdominal aortic aneurysm repair receives 100 mg HC IV bolus in the operating room, followed by a continuous infusion of 200 mg HC over 24 hours (≈8.3 mg/h); postoperative course uncomplicated.

Source: Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2016, https://doi.org/10.1210/jc.2016-2118

TODO: consider adding scripts/calc.py for the ata-major-stress-hc-regimen calculator

---name: ata-major-stress-hc-regimendescription: Administers 100-mg hydrocortisone IV bolus followed by continuous IV infusion of 200 mg HC per 24 hours (alternatively 50 mg IV every 6 hours) for patients undergoing major surgical stress. Use when managing patient with major surgical stress; triggers include patient undergoing major surgery.---# Administer 100-mg hydrocortisone IV bolus followed by continuous infusion for major surgical stress## STEP 1 — Gather InformationConfirm diagnosis of central adrenal insufficiency (AI) or high suspicion, verify patient is undergoing major surgical stress, review current glucocorticoid regimen, assess for signs of adrenal crisis, and check fluid status and glucose; if AI confirmed/suspected and major surgical stress present, proceed to Step 2.## STEP 2 — Rule In / Rule OutIs the patient diagnosed with central AI or has high suspicion of AI? If yes, proceed to Step 3; if no, consider standard perioperative glucocorticoid dosing or hold stress dose and reassess.## STEP 3 — Classify or StratifyClassify stress level as major surgical stress (e.g., bowel resection, cardiac surgery, major orthopedic procedure) versus minor/moderate stress; if major, continue to dosing decision.## STEP 4 — DecideAdminister 100 mg hydrocortisone IV bolus, then start continuous IV infusion of 200 mg HC per 24 hours (or 50 mg IV every 6 hours) and monitor response.## Clinical Guardrails / Mimics / PitfallsAvoid excessive dosing that may cause hyperglycemia, fluid overload, or infection; do not use dexamethasone in pregnancy; taper glucocorticoids postoperatively once HPA axis recovers; monitor for signs of adrenal insufficiency despite stress dosing; consider renal function when adjusting infusion rate; ensure patient has emergency glucocorticoid kit.## Concrete Clinical ExampleA 48-year-old man with known central AI undergoing open abdominal aortic aneurysm repair receives 100 mg HC IV bolus in the operating room, followed by a continuous infusion of 200 mg HC over 24 hours (≈8.3 mg/h); postoperative course uncomplicated.**Source:** Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2016, https://doi.org/10.1210/jc.2016-2118> **TODO:** consider adding scripts/calc.py for the ata-major-stress-hc-regimen calculator

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