Steroids for pneumonia?

1. 0 Do you see steroids given for pneumonia? Why or why not?

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2. 15 Comments

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3. 
   #1 0

   Nov 28, '05 by Tweety, BSN

   Pneumonia is treated with antibiodics and symptomatically. When coupled with COPD or other inflammatory illnesses of the lungs, I have seen steriods given. But not necessarily to treat pneumonia alone.
4. 
   #2 0

   Nov 28, '05 by Jerico

   Have seen it given (in ER) with pneumonia.
5. 
   #3 0

   Nov 28, '05 by grannynurse FNP student

   I have suffered from pneumonia and asthma. When I have suffered from both, at the same time, I have received steroids in conjuction with treatment for my neumonia. I have never received steroids just for treatment of pneumonia and it is generally not recommended.
   
   Grannynurse
6. 
   #4 0

   Nov 28, '05 by Jolie

   I am reading "The Great Influenza" which describes the influenza pandemic of 1918-1919. It was a unique outbreak of disease in that the people most likely to die from the flu were young, strong, healthy people with good immune systems. The immune system caused great damage to the lungs as it tried to fight off the virus. Patients with weaker immune systems were more likely to survive the flu because they did not experience the same lung damage. It was theorized that giving these young, healthy influenza patients steroids may have helped to save lives during that outbreak. So, using steroids may be of benefit to patients with certain types influenza-related pneumonia. I'm sure anti-viral or anti-biotic therapy would be considered, as well.
7. 
   #5 0

   Nov 28, '05 by labcat01

   I've been given steroids and antibiotics for pneumonia. I think it is pretty much the same rationale for giving steroids to children with croup.
8. 
   #6 0

   Nov 28, '05 by MIA-RN1

   With my daughter's pneumonia and asthma, they couldn't really get it under control well until she started prednisone.
9. 
   #7 0

   Nov 29, '05 by EricTAMUCC-BSN

   As antibiotics continue to become less effective I can only see more advantages from this group of medications. Have you ever compared the effects of steroids and antibiotics on a wound?
10. 
    #8 0

    Nov 29, '05 by longforseaair

    I'm asking this because I was recently told by an RT that a certain patient was refused steroids he requested because they are not given to pt with pneumonia. I don't understand, since I see prednisone or solumedrol given so much. It made me question my knowledge base and sent me to you fine people for help.
11. 
    #9 0

    Nov 29, '05 by HappyJaxRN

    Quote from longforseaair

    Do you see steroids given for pneumonia? Why or why not?

    Yes. Steriods have an anti inflammatory response. I see it used more frequently with pts with COPD and also tranplant pts because it has an antirejection property...hence the side effects...lowered immune system (perfect for transplant pts).
12. 
    #10 0

    Nov 29, '05 by NP2BE

    Quote from EricTAMUCC-BSN

    As antibiotics continue to become less effective I can only see more advantages from this group of medications. Have you ever compared the effects of steroids and antibiotics on a wound?

    seems to me steroids would have a negative effects on wound recovery
13. 
    #11 0

    Nov 29, '05 by HappyJaxRN

    Quote from NP2BE

    seems to me steroids would have a negative effects on wound recovery

    Yeah it does...seem that way...in fact one of the side effects of steriods, prednisone in particular is "slow wound healing." I've never heard of it being prescribed for wounds....
14. 
    #12 0

    Jan 4, '06 by EricTAMUCC-BSN

    Quote from NP2BE

    seems to me steroids would have a negative effects on wound recovery

    i am referring to hydrocortisone, not prednisone. Put a triple antibiotic on one cut and hydrocortisone on another. Tell me which heals faster.

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