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
Kelly May 1, 2016 - 1:30 am
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.
Kelly August 11, 2016 - 2:38 pm
Just looked it up – 12mg of decadron is equivalent to 75mg of prednisone, and 16mg of decadron to 100mg of prednisone!
R Bruneau August 24, 2016 - 10:22 am
Iwould give a 0,3mg/Kg of decadron but I top it at 10mg. That is a lot!!!
Kelly August 24, 2016 - 10:55 am
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