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Orthopaedics General ab09a9eb

The patient develops myelopathy post-trauma. What dose of methyl prednisolone is to be given?

A
30mg/kg within 3hrs.
B
45mg/kg within 6 hrs.
C
60mg/kg within 9 hrs.
D
75mg/kg within 12 hrs.
High-Yield Explanation
The most appropriate answer here is 30 mg/kg within 3 hrs. Patients who have a confirmed acute spinal cord injury and have no contraindications for administration of a corticosteroid may be treated with a protocol of methylprednisolone administration consisting of a bolus dose of 30mg/kg body weight administered over 15 minutes, followed by a 45-minute pause, and then a 23 hour continuous infusion of 5.4 mg/kg/h.

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