Question

A 7-year-old boy with known asthma presents with severe breathlessness, speaking only in words, RR 32 breaths/min, SpO2 90% on room air, and marked accessory muscle use. What is the most appropriate immediate management?

Accepted Answer

Nebulised salbutamol with oxygen, add ipratropium and systemic corticosteroids

Answer

Oral salbutamol syrup

Answer

Inhaled salbutamol via spacer only

Answer

Commence long-acting beta-agonist only

Answer

Oral antibiotics and discharge

Practice question

A 7-year-old boy with known asthma presents with severe breathlessness, speaking only in words, RR 32 breaths/min, SpO2 90% on room air, and marked accessory muscle use. What is the most appropriate immediate management?