BOF: 2.9
A 30-year-old female who is known
to have ileo-caecal Crohn’s disease has been treated with oral steroids for
several months. She has been admitted under the care of a surgical team with
intestinal obstruction and a decision has been made to proceed to surgery. The
house surgeon has been instructed to change the patient’s treatment from
oral prednisolone to intravenous hydrocortisone in the peri-operative period.
He rings you to ask how much hydrocortisone is equivalent to prednisolone 30
mgs. Your reply is:
a)
60 mg
b)
90 mg
c)
120 mg
d)
150 mg
e)
180 mg
Answer:
c)
The equivalent anti-inflammatory
doses of Prednisolone
5 mgs are:
Hydrocortisone 20 mg
Cortisone acetate 25 mg
Methylprednisolone 4 mg
Deflazacort 6 mg
Betamethasone 750 micrograms
Dexamethasone 750 micrograms
Triamcinolone 4 mg
