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EasyRespiratoryAcute asthma exacerbationca-mccqe1ca-rcpsc-em

A 36-year-old woman with known asthma presents to the emergency department with acute shortness of breath and wheeze. She is speaking in short phrases, respiratory rate is 28 breaths/min, pulse is 115 beats/min and SpO₂ is 93% on room air. Peak expiratory flow is 55% of her personal best. Which of the following is the most appropriate initial management step?

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