A 64-year-old with COPD exacerbation requiring hospitalization but no pneumonia asks about steroid route. What is appropriate?...

Question

A 64-year-old with COPD exacerbation requiring hospitalization but no pneumonia asks about steroid route. What is appropriate?

Accepted Answer

Oral prednisone is as effective as IV in most cases

Answer

High-dose IV methylprednisolone q6h

Answer

No steroids if not ventilated

Answer

Dexamethasone for 14 days

Answer

Nebulized budesonide only

us-abfm MCQ (SBA): COPD Exacerbation Steroid Route