Adrenal practice

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Endocrine and Metaboliccommon

A 58-year-old man with primary adrenal insufficiency is scheduled for multiple dental extractions under general anaesthesia. He takes hydrocortisone 20 mg in the morning and 10 mg at midday, has no current illness, and his electrolytes are stable. The anaesthetist asks for the perioperative steroid plan. Which one of the following is most appropriate?