QuestionSBA
QuestionChoice
It is not necessary to monitor serum ACTH during treatment with prednisolone
34384
e
Serum ACTH
QuestionChoice
The [BNFC](https://bnfc.nice.org.uk/drugs/prednisolone/#monitoring-requirements) states that for children taking oral prednisolone, blood pressure and urinary glucose should be monitored weekly
34381
b
Blood pressure and urinary glucose 
QuestionChoice
The BNFC advises that for patients with systemic sclerosis, blood pressure and renal function, specifically creatinine, should be measured as there is an increased incidence of scleroderma renal crisis.
34380
a
Blood pressure and renal function
QuestionChoice
The BNFC recommends that for oral prednisolone, blood pressure and urinary glucose should be monitored weekly.
34383
d
Height and weight 
QuestionChoice
The BNFC recommends urinary glucose measurements.
34382
c
Capillary blood glucose
QuestionComment
on the bnf it says "The height and weight of children receiving prolonged treatment with corticosteroids should be monitored annually"
17553
QuestionComment
But also if you scroll down a little further, it says BP and urinary glucose needs to be done weekly, specifically for oral pred whereas yours is for all corticosteroids
17623
User
subscriber
Sclerosis Serotonin
QuestionComment
Saumiya's point is still valid tho - you would monitor all of those things. The options need to be changed
33302
User
subscriber
Epidermis Abdominal
QuestionComment
forreal
40301
User
subscriber
Lateral Kinase
User
subscriber
Saumiya
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

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2819
Prednisolone side effects
Topic
91
Paediatrics
6887
A 7-year-old girl is seen in the outpatient paediatrics clinic with tiredness, weight gain and swelling of her hands and feet and around her eyes.

Investigations

Urine dip: Protein 3+

She is given a provisional diagnosis of nephrotic syndrome secondary to minimal change disease. She is prescribed prednisolone 25mg PO OD and given a follow-up appointment in 6 weeks.

Select the most appropriate option to monitor for adverse effects of this treatment.
b