A patient Dharampal has been diagnosed to have bronchial asthma and is maintained on oral prednisolone 20 mg daily and inhaled salbutamol as required. The patient develops chest infection. Which of the following measures would you like to take?
* During conditions of stress or infection, dose of steroids should not be decreased. coicosteroids reduce the inflammatory response by inhibiting the activation of inflammatory cells and by reducing mediator production, microvascular leakage, and mucus formation.Coicosteriods helps in reducing infections. Rather, increase in dose may be required.
Stop prednisolone
Reduce prednisolone dose to 5 mg/day
No change/increase in prednisolone dose
Substitute prednisolone with inhaled budesonide
Adrenal