Watch Steroid Stewardship - Prudent use of Glucocorticoids🎥
21 Nov 2023 • Doctors, take a look at this case
A 40 year old male began to notice rapid weight gain (7 - 8 kg) in the past 4 months along with progressive difficulty in walking.
Physical Examination revealed abdominal striae, edema over legs and fatigue😪
On further probing, we found that the patient had been self administering Prednisolone 20 mg per day and NSAIDS for chronic low backache since 3 years💊
So who's the culprit?!🤷♀️
To be precise, the Lack of Steroid Stewardship was the culprit🤦♀️
So what is Steroid Stewardship?
The systematic effort of judiciously prescribing and monitoring glucocorticoids to patients, taking into account both their potential benefits and risks, is the essence of Steroid Stewardship✅
Let's take a look at the components of Steroid Stewardship:
- Pre-prescription screening
- Rational prescription
- Medical care during steroid use
- Appropriate monitoring after the steroids have been discontinued.
As clinicians, we need to make sure about the indication and aim of steroid prescription to our patients. But how?
- (possible) Adverse events
- Knowledge/skills required to use steroid
Steroid stewardship adds value to glucocorticoid use and we need to ensure rational and effective use of these life-saving drugs.
There are more mnemonics like the 4Cs and the 5Ds, which we can use to ensure seamless management and establish effective Steroid Stewardship.
🔗Click here to catch more on the Prudent use of steroids from Dr. Bantwal, right here on Medflix.