Question

A 34-year-old man presents with acute severe asthma: PEFR 30% predicted, SpO₂ 93% on air, speaking in short phrases. After high-dose nebulised bronchodilators and steroids, he remains breathless. Next appropriate IV therapy?

Accepted Answer

IV magnesium sulphate 1.2-2 g over 20 minutes

Answer

IV aminophylline

Answer

IV antibiotics

Answer

IV adrenaline

Answer

No further treatment

Practice question

A 34-year-old man presents with acute severe asthma: PEFR 30% predicted, SpO₂ 93% on air, speaking in short phrases. After high-dose nebulised bronchodilators and steroids, he remains breathless. Next appropriate IV therapy?