Question

A 28-year-old atopic woman presents with wheeze and breathlessness. Peak flow is 55% of best. She has used salbutamol repeatedly over the last day. SpO₂ is 95% on air, respiratory rate 24/min, speech in sentences. What is the most appropriate next step in primary care?

Accepted Answer

Start oral prednisolone 40 mg and continue SABA; review within 48 hours

Answer

Add high-dose inhaled corticosteroid immediately and no steroids

Answer

Give nebulised ipratropium only

Answer

Start long-acting beta-agonist without ICS

Answer

Send home without treatment and arrange spirometry

Practice question

A 28-year-old atopic woman presents with wheeze and breathlessness. Peak flow is 55% of best. She has used salbutamol repeatedly over the last day. SpO₂ is 95% on air, respiratory rate 24/min, speech in sentences. What is the most appropriate next step in primary care?