J. s. is a 58-year-old female brought to the emergency department (ed) at 7: 00 am by her husband because when she got up this morning she was light-headed, confused, and so weak that she could not dress herself. j. s.'s husband immediately drove her to the ed in her pajamas. she has a history of rheumatoid arthritis and had been taking prednisone (deltasone) 10 mg daily, but she stopped taking her medications because her husband states he lost his job and they couldn't afford it.