Rescue Prednisone vs. Dexamethasone

Since prednisone and dexamethasone are both corticosteroids with similar mechanisms of action, the prior administration of prednisone by the clinic physician would meet the contraindication for dexamethasone under the bronchoconstriction medical directive. No additional dose of corticosteroid would be required, as the anti-inflammatory effect has already been initiated. Withholding dexamethasone in this scenario was appropriate, as administering another corticosteroid would not provide added benefit.