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EasyRespiratoryAcute asthma exacerbationau-acemau-amc

A 35-year-old man with known asthma presents to the emergency department with shortness of breath and wheeze. He is speaking in phrases, has a respiratory rate of 26 breaths/min and oxygen saturation of 95% on room air. Peak expiratory flow is 60% of predicted. According to Australian asthma emergency management, which is the most appropriate initial treatment?

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