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EasyRespiratoryAcute asthma exacerbationau-acemau-amc

A 25-year-old woman with known asthma presents to the emergency department with breathlessness and wheeze after exposure to cat dander. She is speaking in short phrases, respiratory rate is 26 breaths/min, oxygen saturation is 95% on room air and peak expiratory flow is 60% of predicted. Which is the most appropriate initial bronchodilator therapy?

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