Podcast #94: Steroids in Asthmatic Kids

f4f30e92-1942-47d0-8b05-c6164215b8cdRun Time: 2 minutes

Author: Dr. Chris Holmes

Educational Pearls:

  • A recent study investigated the difference between prednisone and one time dexamethasone dose given to children with asthma in the emergency room.
  • There was no difference in PRAM score or hospitalization after initial dose in either steroid group.
  • There was a slight difference in repeat dosing with prednisone in the dexamethasone group compared to the prednisone group – 13% vs. 4%.
  • One disadvantage of prednisone is that it tastes like diesel fuel – kids are more likely to vomit – dexamethasone tabs dissolves in water, applesauce, etc. and dexamethasone is a one-time dose in the ER.

Link to Podcast:  http://medicalminute.madewithopinion.com/steroids-in-asthmatic-kids/

References:  http://www.annemergmed.com/article/S0196-0644(15)01154-3/abstract

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