MRCP-0400

MRCP-0400

A 60–year-old woman comes to the hospital for chemotherapy for breast cancer. On examination, her pulse is 120 bpm and regular and BP is 90/60. Her JVP is not seen, her heart sounds are normal, and her chest is clear. There is evidence of a right mastectomy. Abdominal and neurological examination is normal.

Short synacthen test was ordered and the results came as follows:

Time (min): 0, 30, 60.

Cortisol (nmol/l): 90, 130, 145.

Which two of the following would be your immediate management?