Question

A patient presents to the emergency department with severe acute asthma. On examination, peak expiratory flow rate (PEFR) is 40% of predicted. According to NICE/CKS guidelines, what is the most appropriate initial management?

Accepted Answer

High-dose nebulised beta-2 agonist plus oxygen

Answer

High-flow oxygen only

Answer

Intravenous aminophylline infusion

Answer

Oral prednisolone only

Answer

Magnesium sulphate nebulisation

Practice question

A patient presents to the emergency department with severe acute asthma. On examination, peak expiratory flow rate (PEFR) is 40% of predicted. According to NICE/CKS guidelines, what is the most appropriate initial management?