Intravenous Dexamethasone

You site a cannula and prescribe a dose of intravenous dexamethasone, and this is given to Jack. He cries a lot when the cannula is sited, and this makes his breathing noise much worse, but calms down once it is taped to his skin.

After the injection you review him.

HR 150/min, RR 40/min, T 37.5 C, SaO₂ 95% in Oxygen.

He is still a little upset and there is no real difference in his breathing to that before the injection.

What would you like to do next?