A 4-year-old boy with known asthma presents with an acute wheeze. He is able to talk in sentences, respiratory rate 32/min, oxygen saturation 95% on a...

Question

A 4-year-old boy with known asthma presents with an acute wheeze. He is able to talk in sentences, respiratory rate 32/min, oxygen saturation 95% on air and peak flow 70% of best. What is the most appropriate initial management?

Accepted Answer

Give 10 puffs of Salbutamol via spacer and oral Prednisolone

Answer

Start continuous nebulised Salbutamol and Ipratropium

Answer

Admit to paediatric intensive care immediately

Answer

Give intramuscular Adrenaline

Answer

Withhold beta-agonists and give inhaled steroids only

uk-plab-1 MCQ (SBA): Acute paediatric asthma

A 4-year-old boy with known asthma presents with an acute wheeze. He is able to talk in sentences, respiratory rate 32/min, oxygen saturation 95% on air and peak flow 70% of best. What is the most appropriate initial management?