https://neurowiki.dk/index.php?action=history&feed=atom&title=Prednisolonudtrapning Prednisolonudtrapning - Versionshistorie 2026-04-29T11:14:10Z Versionshistorie for denne side i NeuroWiki MediaWiki 1.45.1 https://neurowiki.dk/index.php?title=Prednisolonudtrapning&diff=7933&oldid=prev Anne-Sophie Fenger med 3. apr. 2018, 10:15 2018-04-03T10:15:19Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="da"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Ældre version</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versionen fra 3. apr. 2018, 12:15</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">Linje 1:</td> <td colspan="2" class="diff-lineno">Linje 1:</td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">[[</del>http://vip.regionh.dk/VIP/Admin/GUI.nsf/Desktop.html?open&amp;openlink=http://vip.regionh.dk/VIP/Slutbruger/Portal.nsf/Main.html?open&amp;unid=X3D3905BC49E710E3C1257915007878EE&amp;dbpath=/VIP/Redaktoer/130121.nsf/&amp;windowwidth=1100&amp;windowheight=600&amp;windowtitle=S%F8g</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>http://vip.regionh.dk/VIP/Admin/GUI.nsf/Desktop.html?open&amp;openlink=http://vip.regionh.dk/VIP/Slutbruger/Portal.nsf/Main.html?open&amp;unid=X3D3905BC49E710E3C1257915007878EE&amp;dbpath=/VIP/Redaktoer/130121.nsf/&amp;windowwidth=1100&amp;windowheight=600&amp;windowtitle=S%F8g</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">]]</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&#039;&#039;&#039;Aftrapning af steroid (Prednison) - behandling hos patienter med hjernetumorer&#039;&#039;&#039;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&#039;&#039;&#039;Aftrapning af steroid (Prednison) - behandling hos patienter med hjernetumorer&#039;&#039;&#039;</div></td></tr> </table> Anne-Sophie Fenger https://neurowiki.dk/index.php?title=Prednisolonudtrapning&diff=7932&oldid=prev Anne-Sophie Fenger med 3. apr. 2018, 10:15 2018-04-03T10:15:03Z <p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="da"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Ældre version</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versionen fra 3. apr. 2018, 12:15</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l6">Linje 6:</td> <td colspan="2" class="diff-lineno">Linje 6:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;"></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">'''Målgrupper og anvendelsesområde </del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">Definitioner </del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">Fremgangsmåde </del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">Ansvar og organisering </del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">Referencer, lovgivning og faglig evidens samt links hertil </del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">Akkrediteringsstandarder </del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">Bilag''' </del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>    </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>    </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> </table> Anne-Sophie Fenger https://neurowiki.dk/index.php?title=Prednisolonudtrapning&diff=7931&oldid=prev Anne-Sophie Fenger: Oprettede siden med '[[http://vip.regionh.dk/VIP/Admin/GUI.nsf/Desktop.html?open&openlink=http://vip.regionh.dk/VIP/Slutbruger/Portal.nsf/Main.html?open&unid=X3D3905BC49E710E3C1257915007878EE&dbpat…' 2018-04-03T10:14:39Z <p>Oprettede siden med &#039;[[http://vip.regionh.dk/VIP/Admin/GUI.nsf/Desktop.html?open&amp;openlink=http://vip.regionh.dk/VIP/Slutbruger/Portal.nsf/Main.html?open&amp;unid=X3D3905BC49E710E3C1257915007878EE&amp;dbpat…&#039;</p> <p><b>Ny side</b></p><div>[[http://vip.regionh.dk/VIP/Admin/GUI.nsf/Desktop.html?open&amp;openlink=http://vip.regionh.dk/VIP/Slutbruger/Portal.nsf/Main.html?open&amp;unid=X3D3905BC49E710E3C1257915007878EE&amp;dbpath=/VIP/Redaktoer/130121.nsf/&amp;windowwidth=1100&amp;windowheight=600&amp;windowtitle=S%F8g<br /> ]]<br /> <br /> &#039;&#039;&#039;Aftrapning af steroid (Prednison) - behandling hos patienter med hjernetumorer&#039;&#039;&#039;<br /> <br /> <br /> <br /> <br /> &#039;&#039;&#039;Målgrupper og anvendelsesområde <br /> Definitioner <br /> Fremgangsmåde <br /> Ansvar og organisering <br /> Referencer, lovgivning og faglig evidens samt links hertil <br /> Akkrediteringsstandarder <br /> Bilag&#039;&#039;&#039; <br /> <br /> <br /> &#039;&#039;&#039; <br /> Målgrupper og anvendelsesområde&#039;&#039;&#039;<br /> <br /> Alle læger og plejepersonale på afdeling NK. <br /> <br /> <br /> <br /> &#039;&#039;&#039; <br /> Definitioner&#039;&#039;&#039;<br /> <br /> Patienter som er i behandling med Prednisolon eller ækvivalant middel på grund af hjernetumor. <br /> <br /> <br /> <br /> &#039;&#039;&#039; Fremgangsmåde&#039;&#039;&#039;<br /> <br /> Nedenstående retningslinier gælder for patienter som er henvist til neurokirurgisk klinik med hjernetumorer som sædvanligvis ikke har fået steroidbehandling i længere tid end et par måneder.<br /> <br /> Hvis patienter har fået behandling i mere end 2-3 uger, bør aftrapningen af steroid foregå langsomt pga. risiko for at udvikle binyrebarkinsufficiens eller steroid withdrawal sydrome.<br /> <br /> Der kan anvendes følgende retningslinier :<br /> 1.Behandling under 3 uger; halvering og herefter seponering over et par dage f.eks. 100 mg – 50 mg – 25 mg – 0 mg.<br /> 2.Behandling over 3 uger: Man kan starte med nedtrapning i større trin, eks. 100 – 75 – 50 – 25 mg.<br /> 3.Herefter anbefales aftrapning med 5 mg hver 3. dag.<br /> <br /> Ovenstående foregår naturligvis under klinisk monitorering og med information til patienten om at reagere hvis de i forbindelse med nedtrapning bliver utilpasse, i hvilket tilfælde de i så fald skal blive stående på det foregående dosistrin og henvende sig til den behandlende afdeling.<br /> <br /> Der findes standard aftrapningsplaner i EPM for hurtig og langsom aftrapning.<br /> <br /> Alle patienter som er i Prednisonbehandling skal have udleveret det orange advarselskort<br /> <br /> <br /> <br /> <br /> &#039;&#039;&#039; Ansvar og organisering&#039;&#039;&#039;<br /> <br /> Den behandlingsansvarlige læge, som kan uddelegere ansvaret til yngre læge.</div> Anne-Sophie Fenger