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Date/Time:________ Allergies_____________________ Hgt_____ Wt______
Cosyntropin Stimulation Test Medications If possible, cosyntropin stimulation tests should be performed between the
hours of 0700 and 0900 and patients should be NPO from midnight prior to the
procedure. Where possible, complete testing prior to administration of
hydrocortisone, methylprednisolone, or dexamethasone. c cosyntropin injection 0.25 mg IV Push ONCE P2 Inj ; administer after
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baseline cortisol level obtained c cosyntropin injection 0.25 mg IV Push ONCE t+1;0800 Inj ; administer after
d
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baseline cortisol level obtained c Other
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Laboratory Lab Draw Instructions for Nursing b Obtain cortisol level P2 prior to cosyntropin injection ; Appropriately label
c
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specimen by writing PRE on the blood tube label to reflect blood drawn
PRE-cosyntropin Lab Draw Instructions for Nursing b Obtain cortisol level P2 30 minutes after cosyntropin injection ;
c
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Appropriately label specimen by writing POST on the blood tube label to
reflect blood drawn POST-cosyntropin Lab Draw Instructions for Nursing b Obtain cortisol level P2 60 minutes after cosyntropin injection ;
c
d
e
f
g
Appropriately label specimen by writing POST on the blood tube label to
reflect blood drawn POST-cosyntropin c Other
d
e
f
g
Cosyntropin Stimulation Test Wellspan Health g Gettysburg Hospital c
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c York Hospital d
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