skip to main content

Paediatric acute asthma steroids — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

ModerateRespiratory TherapeuticsPaediatric acute asthma steroidsGPhC CRA

A mother presents a prescription for prednisolone soluble tablets 20 mg daily for 3 days for her 8-year-old child (weight 25 kg) who is having an acute asthma exacerbation. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Dispense as written; 20 mg is the correct dose for this child

For acute asthma in children aged 2-11 years, BTS/SIGN guidelines recommend prednisolone 20 mg once daily for 3 days (children aged 2-5 years receive 20 mg, those 6-11 receive 30-40 mg). However, some guidelines use 1-2 mg/kg. At 25 kg and age 8, 20 mg is within range but arguably on the lower end — the child may benefit from 30 mg. In practice, 20 mg for an 8-year-old would typically be dispensed, with advice to give with food. A 3-day course is standard and should not be extended routinely.

Reference: BTS/SIGN 158 Asthma; BNF for Children