Dexamethasone (Decadron®)

Question 1

Decadron - Class

Answer 1

Synthetic steroid

Question 2

Decadron - Actions

Answer 2

• Glucocorticoid (steroid) that suppresses acute & chronic inflammation
• Modifies the body’s immune response
• Potentiates vascular smooth muscle relaxation caused by beta-adrenergic agonists
• May alter airway hyperactivity

Question 3

Decadron - Indications

Answer 3

• Moderate to severe asthma/COPD
• Severe allergic reaction/anaphylaxis
• Croup

Question 4

Decadron - Dosage/Route

Answer 4

10 mg IV, IO, IM, or PO

Question 5

Decadron - Side Effects

Answer 5

• N/V
• Headache/dizziness
• Hiccups

Question 6

Decadron - Contraindications

Answer 6

• Known hypersensitivity to corticosteroids

* Known systemic fungal infections

Question 7

Decadron - Special Information

Answer 7

• May cause hypertension & hyperglycemia

* Use with caution for pts on Digoxin (may increase the risk of arrhythmias)

Question 8

Decadron - Pediatric Note

Answer 8

• Refer to pediatric drug guide
• 0.3 mg/kg IV, IO, IM, or PO
• Flavoring may be used for PO admin