- See
Steroids:
- similar indications as
dexamethasone but not used in cerebral edema;
- IV/IM: Initial dose is 100-500mg depending on severity of condition
- infuse slowly (500mg over 10min), dosage may be repeated q2-6hr prn;
- for
bronchospasm: 250mg IV bolus; maintenance = 100mg IV q6hr;
- will take 6 hr to work;
- when d/c'ing this med, use Taper, & note possible increase in wheezing;
- if pt has been on
steroids < 2 weeks then steroid taper is not necessary;
- Precautions:
- note hyper-glycemia may occur indiabetics;
- If hydrocortisone is continued for > 72 hrs, hyponatremia may occur;
- sodium retention may be minimized by switching to
methylprednisolone;
