Asthmatic patient does not respond well to albuterol alone, so
you request the addition of ipratropium. At this point you want to order
steroids.
Which of the following statements about steroids is true?
A) IV steroids are superior to PO steroids in the treatment of asthma.
B) All patients who are steroid-dependent should have additional steroids even if they have already taken their dose for the day.
C) The effective dose range for steroids in asthma is well established.
D) Only patients requiring admission should have oral or parenteral steroids.
Which of the following statements about steroids is true?
A) IV steroids are superior to PO steroids in the treatment of asthma.
B) All patients who are steroid-dependent should have additional steroids even if they have already taken their dose for the day.
C) The effective dose range for steroids in asthma is well established.
D) Only patients requiring admission should have oral or parenteral steroids.
Discussion
The correct answer is B. All patients who are steroid dependent should get steroids if they present to the ED with an acute exacerbation of asthma. Answer A is incorrect. Intravenous steroids and oral steroids have the same efficacy in acute asthma exacerbations. Thus, the choice of route depends mostly on convenience, cost, and physician preference. Answer C is incorrect. Multiple steroid dosing regimens and ranges of doses have been used in asthma with success. Answer D is
incorrect. Discharged patients who have anything more than a minor asthma exacerbation should receive steroids.
The correct answer is B. All patients who are steroid dependent should get steroids if they present to the ED with an acute exacerbation of asthma. Answer A is incorrect. Intravenous steroids and oral steroids have the same efficacy in acute asthma exacerbations. Thus, the choice of route depends mostly on convenience, cost, and physician preference. Answer C is incorrect. Multiple steroid dosing regimens and ranges of doses have been used in asthma with success. Answer D is
incorrect. Discharged patients who have anything more than a minor asthma exacerbation should receive steroids.
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