Question

A 72-year-old man with COPD presents with increased dyspnoea, sputum volume and sputum purulence for 3 days. He uses inhaled bronchodilators at home and has no signs of pneumonia. Oxygen saturation is 90% on air. According to COPD-X, which systemic steroid regimen is most appropriate for this exacerbation?

Accepted Answer

Prednisolone 30-50 mg daily for 5 days

Answer

Prednisolone 10 mg daily for 3 months

Answer

Intravenous hydrocortisone 100 mg 6-hourly for 7 days

Answer

No systemic corticosteroids are indicated in any COPD exacerbation

Answer

Prednisolone 50 mg alternate days for 4 weeks

Practice question