Practice question

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HardRespiratoryLife-threatening asthmaau-acemau-amc

A 24-year-old woman with known asthma presents to the emergency department with severe breathlessness. She is unable to speak full sentences, respiratory rate is 32 breaths/min, pulse 130 beats/min, oxygen saturation 89% on room air and there is a silent chest on auscultation. Peak expiratory flow is 25% of predicted. What is the most appropriate immediate management?

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