Does this patient require “stress” dose steroids?

Does this patient require “stress” dose steroids?

Laparoscopic cholecystectomy without surgical compli-cation, such as large blood loss, will usually not result in any significant increase in endogenous cortisol production. Therefore, the administration of full dose “stress” steroids (i.e., hydrocortisone 100 mg intravenously every 8 hours) is not indicated for this patient. However, most sources recommend a modest increase in steroid administration. For example, the patient may be instructed to take pred-nisone 10 or 15 mg orally on the day of surgery, and perhaps the day after, or the equivalent dose of another steroid.