A 9-year-old girl with known asthma presents with an acute exacerbation triggered by a viral infection. She is speaking in full sentences, RR 26/min, ...

Question

A 9-year-old girl with known asthma presents with an acute exacerbation triggered by a viral infection. She is speaking in full sentences, RR 26/min, oxygen saturation 95% in room air, with mild end-expiratory wheeze. What is the most appropriate initial management in the emergency department?

Accepted Answer

Inhaled salbutamol via metered-dose inhaler with spacer and oral corticosteroids

Answer

IV salbutamol infusion

Answer

Nebulised adrenaline

Answer

No treatment; observe only

Answer

Start long-term inhaled corticosteroid but no acute bronchodilator

ca-mccqe1 MCQ (SBA): Acute asthma exacerbation in child

A 9-year-old girl with known asthma presents with an acute exacerbation triggered by a viral infection. She is speaking in full sentences, RR 26/min, oxygen saturation 95% in room air, with mild end-expiratory wheeze. What is the most appropriate initial management in the emergency department?