Question

A 60-year-old with COPD has an acute exacerbation with increased dyspnea, sputum volume, and purulence. Vitals stable; no need for ventilatory support. What systemic steroid regimen is preferred?

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 10 days

Answer

No systemic steroids; inhaled agents only

Answer

Prednisone 60 mg daily for 21 days

Practice question

A 60-year-old with COPD has an acute exacerbation with increased dyspnea, sputum volume, and purulence. Vitals stable; no need for ventilatory support. What systemic steroid regimen is preferred?