I thought I would chime in since many have viewed and none have responded. This is pretty vague information. The primary diagnosis isn't given. The medication doses are atypical. 4 mg of dexamethasone per hour?? My suggestion would be take a history, perform a physical exam, and then think about treatment options. Also, I hope this is not based on an actual Step 3 question since it would be against USMLE policy to reproduce test questions.
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