Question

A 66-year-old with COPD presents with increased dyspnea, sputum volume, and purulence. SpO₂ 90% RA, afebrile. Which systemic steroid regimen is guideline-concordant for an acute exacerbation?

Accepted Answer

Prednisone 40 mg daily for 5 days

Answer

Prednisone 20 mg daily for 14 days

Answer

Methylprednisolone 125 mg IV every 6 hours for 48 hours

Answer

Dexamethasone 10 mg IV once

Answer

No systemic steroids unless ICU admission

Practice question

A 66-year-old with COPD presents with increased dyspnea, sputum volume, and purulence. SpO₂ 90% RA, afebrile. Which systemic steroid regimen is guideline-concordant for an acute exacerbation?