A 30-year-old man with known asthma presents to the Emergency Department with acute shortness of breath, wheeze, and inability to complete sentences. ...

Question

A 30-year-old man with known asthma presents to the Emergency Department with acute shortness of breath, wheeze, and inability to complete sentences. His peak expiratory flow rate (PEFR) is 45% of his predicted best. Oxygen saturation is 93% on air. What is the most important initial pharmacological treatment?

Accepted Answer

Nebulised salbutamol

Answer

Intravenous magnesium sulfate

Answer

High-dose inhaled corticosteroids (ICS) via nebuliser

Answer

Oral prednisolone

Answer

Intravenous aminophylline

ukmla MCQ (SBA): Acute Asthma Exacerbation