decadron
| Description: | Dexamethasone sodium phosphate |
| Category: | Paramedic/EMT |
| Created by: | klindley on 2009-03-19 |
| Question | Answer |
| GENERIC NAME | Dexamethasone sodium phosphate |
| BRAND NAME | Decadron, Hexadrol |
| CLASS | Corticosteroid |
| MECHANISM OF ACTION | Suppresses acute and chronic inflammation. Immunosuppressive effects. |
| INDICATIONS | Anaphylaxis, spinal cord injury, asthma, croup, elevated ICP, as an adjunct to treatment for shock. |
| CONTRAINDICATIONS | Hypersensitivity |
| ADVERSE REACTIONS | HTN, Sodium and water retention, GI bleeding, TB. None from a single dose. |
| NOTES ON ADMINISTRATION | Pregnancy safety unknown. Protect from heat. Toxicity and side effects with long term use. |
| INCOMPATABILITIES/DRUG INTERACTIONS | Calcium, Metaraminol. |
| DOSE/ROUTE Adult | 10-100mg IV (1mg/kg slow IV bolus) |
| DOSE/ROUTE Pediatric | 0.25-1mg/kg/dose IV, IO, IM |
| ONSET OF ACTION | Hours |
| PEAK EFFECTS | 8-12 hours |
| DURATION OF ACTION | 24-72 hours. |
| AZ DRUG BOX SUPPLY RANGE | 8mg optional |
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