Question

A 47-year-old man with severe community-acquired asthma has PEFR 28% predicted and SpO2 88% on air. After oxygen and nebulised salbutamol plus ipratropium, he is still hypoxic. What additional treatment is recommended now?

Accepted Answer

IV magnesium sulfate

Answer

IV aminophylline first

Answer

Oral prednisolone 20 mg

Answer

Nebulised adrenaline

Answer

No further treatment needed

Practice question

A 47-year-old man with severe community-acquired asthma has PEFR 28% predicted and SpO2 88% on air. After oxygen and nebulised salbutamol plus ipratropium, he is still hypoxic. What additional treatment is recommended now?