A 6-year-old boy presents with an asthma exacerbation characterised by wheeze, mild subcostal indrawing, and oxygen saturation 95% on room air. He has...

Question

A 6-year-old boy presents with an asthma exacerbation characterised by wheeze, mild subcostal indrawing, and oxygen saturation 95% on room air. He has used his Salbutamol inhaler twice in the last 24 hours. According to paediatric asthma management principles, what is the most appropriate initial treatment in the emergency department?

Accepted Answer

Three back-to-back Salbutamol puffs via metered-dose inhaler with spacer and oral corticosteroids

Answer

Intravenous magnesium sulfate

Answer

Nebulised Adrenaline

Answer

Immediate intubation and ventilation

Answer

Start long-acting beta-agonist therapy only

ca-mccqe1 MCQ (SBA): Paediatric asthma exacerbation