A 28-year-old woman presents to the emergency department with acute dyspnoea and wheeze. She has a history of asthma controlled with as-needed low-dos...

Question

A 28-year-old woman presents to the emergency department with acute dyspnoea and wheeze. She has a history of asthma controlled with as-needed low-dose budesonide-formoterol. On arrival she is speaking in phrases, RR 30 breaths/min, pulse 120 bpm, SpO₂ 92% on room air, PEFR 45% predicted. What is the most appropriate initial bronchodilator regimen?

Accepted Answer

Nebulised salbutamol plus nebulised ipratropium bromide

Answer

Nebulised salbutamol only

Answer

IV aminophylline infusion

Answer

Subcutaneous adrenaline

Answer

Continue only her budesonide-formoterol inhaler as needed

au-amc MCQ (SBA): Acute asthma exacerbation