A 55-year-old male with known adrenal insufficiency presents with severe hypotension (BP 70/40 mmHg), hyponatremia, hyperkalemia, and profound weakness after a viral illness. He reports missing his hydrocortisone dose for two days. What is the most critical immediate treatment?
✓ Correct Answer: Option C
An adrenal crisis is a life-threatening emergency requiring immediate high-dose intravenous hydrocortisone (stress-dose steroids) and aggressive intravenous fluid resuscitation to correct hypotension and volume depletion.