A 7-year-old boy with known asthma presents with an acute exacerbation. He is speaking in short phrases, respiratory rate is 36 breaths/min, oxygen sa...

Question

A 7-year-old boy with known asthma presents with an acute exacerbation. He is speaking in short phrases, respiratory rate is 36 breaths/min, oxygen saturation 93% in air and there is marked accessory muscle use with widespread wheeze. According to paediatric acute asthma guidelines, which of the following is the most appropriate immediate treatment?

Accepted Answer

Continuous nebulised salbutamol plus ipratropium and systemic corticosteroids

Answer

SABA via MDI and spacer only

Answer

Intermittent subcutaneous adrenaline

Answer

Oral theophylline

Answer

Observation without bronchodilator therapy

au-amc MCQ (SBA): Acute severe asthma in children