In the adult bronchospasm due to asthma (1st bundle), what is the steroid dose administered?

• A. 250 mg IV/IM
• B. 60 mg IV/IM
• C. 125 mg IV/IM
• D. 500 mg IV/IM

Answer: (C)

Systemic corticosteroids are used in acute asthma to reduce airway inflammation and prevent relapse after initial bronchodilator therapy. For adults in the first treatment bundle, the standard dose is methylprednisolone 125 mg given IV or IM. This amount provides a rapid anti-inflammatory effect to improve airway function and reduce the likelihood of needing further treatment or hospitalization. A smaller dose like 60 mg IV/IM is less effective in acute severe bronchospasm, while much higher doses (250 mg or 500 mg) don’t add benefit and increase the risk of side effects. If IV access isn’t available, an equivalent oral dose (e.g., prednisone 40–60 mg) can be used, but 125 mg IV/IM methylprednisolone is the typical first-choice dose.