Adrenal insufficiency practice

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Endocrine and Metabolicmiddle twist

A 46-year-old woman taking prednisolone 7.5 mg each morning for polymyalgia rheumatica requires extraction of one mobile premolar. She is otherwise well, has taken her usual dose, and the procedure will use local anaesthesia without sedation or general anaesthesia. Which one of the following is the most appropriate perioperative management?