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Decadron for asthma?

You’re seeing a 10yo who weighs 40 kg for acute asthma exacerbation. Do you give decadron or prednisone? If you give decadron, do you give 0.6 mg/kg or a lower dose? What is your maximum dose of decadron for asthma?¬†Click post to read and add comments

What po steroid do you use for asthma patients going home?

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Respiratory

pemsou5_wp • April 30, 2016


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  1. Kelly May 1, 2016 - 1:30 am Reply

    I use decadron, 0.6 mg/kg to a max of 12 mg. The original Quereshi study used 16 mg as a max, but 12 mg is probably plenty.

  2. Kelly August 11, 2016 - 2:38 pm Reply

    Just looked it up – 12mg of decadron is equivalent to 75mg of prednisone, and 16mg of decadron to 100mg of prednisone!

  3. R Bruneau August 24, 2016 - 10:22 am Reply

    Iwould give a 0,3mg/Kg of decadron but I top it at 10mg. That is a lot!!!

  4. Kelly August 24, 2016 - 10:55 am Reply

    It is a lot! We were choosing 12mg just because it’s a multiple of 4 mg tablets, so we don’t have to cut tablets in half… 10mg dex is 67mg prednisone, which is closer to the traditional max prednisone of 60mg

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