Prednisone croup

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    Prednisone croup


    Prednisone is also used to treat children with juvenile rheumatoid arthritis (JRA), acute leukemia, congenital adrenal hyperplasia, adrenocortical insufficiency, and nephrotic syndrome. It is also indicated for a variety of other endocrine, collagen, dermatologic, allergic, ophthalmic, respiratory, hematologic, neoplastic, edematous, gastrointestinal, and nervous system disorders. There is confusion between prednisone and the anabolic steroids used by bodybuilders. But, after the discovery of antibiotics, prednisone may be one of the more important types of medicines ever discovered. The most common side effects of taking prednisone include muscle weakness, osteoporosis, fractures, Cushing's syndrome, pituitary-adrenal axis suppression, growth suppression, glucose intolerance, acne, edema, hypertension, hypokalemia, alkalosis, cataracts, glaucoma, peptic ulcer, nausea, vomiting, headache, vertigo, seizures, psychoses, pseudotumor cerebri, and skin atrophy. Some kids also develop mood swings, become irritable, and have trouble sleeping when they take prednisone. Most side effects, especially growth suppression, edema, and immune system problems are going to be worse with long-term use of prednisone and less likely with the short term course that most children take for typical asthma attacks or for relief from poison ivy, etc. Although one of the more useful medicines in pediatrics, especially when you see the dramatic effects prednisone has on a child with a severe asthma attack, steroids can have serious side effects when overused or misused and they should only be prescribed when it is really necessary. This content has not been reviewed within the past year and may not represent Web MD's most up-to-date information. To find the most current information, please enter your topic of interest into our search box. 22, 2004 -- As any parent who's been through it knows, croup can be a terrifying experience. The unmistakable barking cough that keeps everyone up all night usually resolves and rarely leads to severe problems, but try telling that to a parent trying to calm an inconsolable baby or young child in the wee hours. Steroids are an effective treatment for kids with moderate to severe croup and have been shown to reduce the need to put these children on breathing machines. Now, new research shows that steroids can also be used in mild cases of croup. "This is an effective treatment without apparent side effects that can shorten the duration and severity of croup in children with mild symptoms," researcher David W. "The evidence is unequivocal that children with croup can benefit from treatment with steroids regardless of the severity of their symptoms." Each year, approximately 3% of children under the age of 6 develop croup, a condition in which the airways become inflamed, leading to a characteristic seal-like barking cough. For children with mild croup, treatment with the steroid dexamethasone shortened the duration of the disease and reduced the need for follow-up medical care in a study reported by researchers from the University of Calgary. Because the coughing usually begins in the middle of the night, many kids with croup end up in hospital emergency departments even though the majority will not develop serious respiratory problems. Children with mild symptoms and no evidence of respiratory distress are often sent home from the emergency department.

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    DESCRIPTION. Oral and ophthalmic glucocorticoid; active metabolite of prednisone Used in many conditions in adult and pediatric patients, including asthma, COPD, SLE. Is oral prednisolone as effective as oral dexamethasone in treating mild to moderate croup? An update. Report By Lucinda C Winckworth. The infants and children acute management of croup clinical practice guideline. attached has. dexamethasone with prednisolone both.

    Urgent care or emergency department treatment of croup depends on the patient's degree of respiratory distress. In mild croup, a child may present with only a croupy cough and may just require parental guidance and reassurance, given alertness, baseline minimal respiratory distress, proper oxygenation, and stable fluid status. Caregivers may only need education regarding the course of the disease and supportive homecare guidelines. Most children with mild croup symptoms can be successfully treated at home by their caregivers. Cool mist from a humidifier and/or sitting with the child in a bathroom (not in the shower) filled with steam generated by running hot water from the shower, help minimize symptoms. An adult caregiver should stay with the child during mist treatment. Engaging the child in a calming activity, such as reading a favorite book, can help decrease the child's anxiety and minimize crying, which can worsen stridor. Prednisolone 1mg/kg, AND prescribe a second dose for the next evening. AND Give 0.6mg/kg (max 12mg) IM/IV dexamethasone Improvement If good improvement, observe for 4 hours post adrenaline. Improvement then deterioration Give further doses of adrenaline. Oral dexamethasone suspension ONLY available in hospitals, NOT available at commercial pharmacies) Observe for half an hour post steroid administration. Nebulised adrenaline: 5 m L of 00 (5mg) adrenaline, undiluted. Consider ICU review of any child admitted to RCH requiring frequent nebulised adrenaline, or treatment above to comfort level of the medical staff and/or ward. Children with croup are usually admitted under the General Paediatric Team.

    Prednisone croup

    Clinical Practice Guidelines Croup Laryngotracheobronchitis, BestBets Is oral prednisolone as effective as oral dexamethasone in.

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    Reference Sadeghirad B, et al. Corticosteroids for treatment of sore throat systematic review and meta-analysis of randomised trials. BMJ 2017 Case 50. Emerg Med Australas. 2007 Feb;19151-8. Comparison between single-dose oral prednisolone and oral dexamethasone in the treatment of croup a. Non-specific interstitial pneumonia also known as Non-specific interstitial pneumonitis NSIP is a form of idiopathic interstitial pneumonia.

     
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