Solu Medrol - What are its uses? How to use?

[spenac]

OK Solu Medrol (methylprednisolone sodium succinate). What is your experience with it? What do you use it for?How do you use it? Yes I know some but hope to learn more.

[Ridryder 911]

OK Solu Medrol (methylprednisolone sodium succinate). What is your experience with it? What do you use it for?How do you use it? Yes I know some but hope to learn more.

Just alike its cousins Decadron and other steroids. Reduction of inflammation, swelling, etc. We use it routinely for those with COPD (bronhitis, asthma) and of course allergic reactions. Our standard dosage is 125 mg SIVP.

[spenac]

Has anyone used it in trauma, spinal injury?

[reaper]

Has anyone used it in trauma, spinal injury?

We used to use it in suspected spinal cord injuries. But, there is no evidence that it helped much, so they stopped using it for that.

Like RR stated COPD and Asthma, it does excellent in reducing swelling. We use 125mg too.

[mobey]

Has anyone used it in trauma, spinal injury?

Although we do not have an active protocol for it.... If MD requires/approves it we do have a dosage approved..... ummm 30mg/kg over 15min. then 5.4mg/kg/hr. I believe.

My routine use is also anaphylaxis, asthma, COPD 125-250mg I.V.

[FireMedic65]

Could also be used for anemia 1mg/kg IV qd x 4days

or lupus 1g IV qd x 3days

not that this would be done pre-hospital though

[Dustdevil]

Has anyone used it in trauma, spinal injury?

In the 70s and 80s, it was used along with Mannitol in heaad trauma. We also used it in strokes up through the 90s. In recent years, it has fallen out of favour for head injuries, but regained favour in spinal injury and neuro compromise.

[itku2er]

We normally give it for Respitory cases here..asthma, Real bad COPDers, Pneumonia, Bronchitis.

[fiznat]

I use it routinely on asthma and bad allergic rxns. The spinal dose is so huge that we don't carry enough of the stuff even if we wanted to give it for that.

Note the onset of solumedrol is on the order of hours, but I always get thanks from the ED staff for giving it to my asthma patients. Apparently it makes a big difference down the road.

[emt322632]

125 mv IVP for pts with suspected COPD/Asthma exacerbation. We do have a protocl for suspected spinal injury but I don't believe anyone has ever used it.