Question

A 68-year-old with COPD exacerbation (increased dyspnea, sputum volume and purulence) and no pneumonia on CXR. 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 q6h for 7 days

Answer

Hydrocortisone 50 mg IV q6h for 10 days

Answer

No steroids unless hypoxic

Practice question

A 68-year-old with COPD exacerbation (increased dyspnea, sputum volume and purulence) and no pneumonia on CXR. What systemic steroid regimen is preferred?