One month.............no real risk for less than that. Having said that,
I am not sure there is a reason for a pediatrician or ER doc'to be putting
kids on the equivalent of 2 mg/kg/day for that long. Nonetheless, if one
did, I would tell parents, and document in the chart, about VZ risks and
the need to inform their MD's IF the chid becomes severely ill after a
somewhat prolonged course of steroids. The child with a subspecialist
following them will be a red flag to future providers......not so if the
Pediatrician or ER doc places a child on an extended course of steroids.
Even with the lack of medical concern ......the lawyers who turn good care,
into malpractice cases, necessitates the extra documentation.
At 03:06 AM 9/7/2001, Dr. Mosarrat Qureshi wrote:
>What is the consensus for tapering steroids? i.e. after putting a child on
>systemic steroids e.g. prednisolone 2mg/kg/day for how long, you need to
>taper it off rather than stopping it abruptly ?
>In other words, how many days after being on systemic steroids--good
>dose--are you concerned about Adrenal suppression?
>Thanks in advance
>Dr. Mosarrat J. Qureshi, M.D.
>King Khalid University Hospital,
>Riyadh, Saudi Arabia
>For more information, send mail to [log in to unmask] with the
>message: info PED-EM-L
>The URL for the PED-EM-L Web Page is:
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