A 27-year-old man with known asthma presents to the emergency department with acute wheeze and dyspnoea. He is speaking in short phrases, RR 30 breath...

Question

A 27-year-old man with known asthma presents to the emergency department with acute wheeze and dyspnoea. He is speaking in short phrases, RR 30 breaths/min, HR 118 beats/min, SpO2 92% on room air and using accessory muscles. What is the most appropriate immediate treatment?

Accepted Answer

High-dose inhaled salbutamol via metered-dose inhaler with spacer, plus systemic corticosteroids

Answer

Oral prednisone alone

Answer

Intravenous aminophylline as monotherapy

Answer

Long-acting beta2-agonist nebulisation only

Answer

Start chronic oral corticosteroids and discharge

ca-mccqe1 MCQ (SBA): Acute asthma exacerbation

A 27-year-old man with known asthma presents to the emergency department with acute wheeze and dyspnoea. He is speaking in short phrases, RR 30 breaths/min, HR 118 beats/min, SpO2 92% on room air and using accessory muscles. What is the most appropriate immediate treatment?