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학습 자료 둘러보기 →The primary role of dexamethasone is to suppress the harmful inflammatory response in the subarachnoid space, not to kill bacteria. It is most effective when given 10-20 minutes before or with the first dose of antibiotics.
The key clinical goal is to prevent neurological sequelae, particularly sensorineural hearing loss. Educate parents that the steroid protects the brain and spinal cord from damage caused by the body's own immune reaction to the dying bacteria.
Dexamethasone is an immunosuppressant and can mask fever. It should not be described as a comfort measure or an immune booster. Monitor for signs of gastrointestinal bleeding and hyperglycemia.
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