Patients with acute
exacerbations who are able to improve their peak flow above 70% of
predicted after 3 doses of a nebulized bronchodilator can generally
be managed as outpatients. In adults, 40 to 60 mg of prednisone for
5 to 10 days without a taper is recommended by the NIH guidelines.1
Antibiotics are not indicated for exacerbations of asthma, unless a
specific infection is identified.
- Refill her prescriptions, prescribe prednisone 40 mg daily for 7 days,
and schedule a follow-up appointment in 1 week.
1. National Asthma Education and Prevention Program Expert
Panel Report 2: Guidelines for the diagnosis and management of asthma.
Bethesda (MD): National Heart, Lung, and Blood Institute; 1998. NIH
Publication No. 98-4051.
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