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EasyRespiratoryAcute asthma exacerbationuk-plab-1

A 27-year-old woman with a history of asthma presents to the emergency department with a 2-day history of wheeze and cough. She is speaking in full sentences. Respiratory rate is 22 breaths/min, heart rate 96 beats/min, oxygen saturation 95% on room air and peak expiratory flow is 60% of her best. What is the most appropriate initial management?

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