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Early Steroids in Acute Asthma — RACP Paediatrics MCQ

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ModerateRespiratoryEarly Steroids in Acute AsthmaRACP Paediatrics

An 8-year-old with asthma presents to the ED with an acute exacerbation. After initial treatment with salbutamol and ipratropium, when should oral corticosteroids be given?

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Correct answer: D — Within the first hour of presentation for moderate-to-severe exacerbations

Early oral corticosteroids (prednisolone 1-2 mg/kg, max 50 mg) should be given within the first hour of ED presentation for moderate-to-severe acute asthma. Early steroid administration reduces hospital admission rates and prevents relapse. A 3-5 day course is typically sufficient.

Reference: National Asthma Council Australia – 2024 – Australian Asthma Handbook