Question

A 27-year-old woman has an acute severe asthma attack: PEFR 35% best, RR 30, SpO₂ 92% on air, speaking in phrases. Which immediate treatment is most appropriate?

Accepted Answer

High-flow oxygen, nebulised salbutamol, and oral prednisolone

Answer

Nebulised ipratropium alone

Answer

IV hydrocortisone 100 mg only

Answer

Oral salbutamol 4 mg

Answer

Antibiotics and peak flow monitoring

Practice question

A 27-year-old woman has an acute severe asthma attack: PEFR 35% best, RR 30, SpO₂ 92% on air, speaking in phrases. Which immediate treatment is most appropriate?