A 24-year-old man with known asthma presents with acute shortness of breath, speaking in phrases, RR 30/min, HR 115 bpm, PEFR 45% of predicted, SpO2 9...

Question

A 24-year-old man with known asthma presents with acute shortness of breath, speaking in phrases, RR 30/min, HR 115 bpm, PEFR 45% of predicted, SpO2 93% on air. What is the most appropriate immediate management?

Accepted Answer

Give high-flow oxygen, repeated Salbutamol plus Ipratropium nebulisers and oral Prednisolone

Answer

Start IV Hydrocortisone and Aminophylline infusion

Answer

Prescribe oral Salbutamol tablets and discharge with GP follow-up

Answer

Start IV Salbutamol and admit to ICU

Answer

Give a single dose of oral Prednisolone and review in 4 hours without nebulisers

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

A 24-year-old man with known asthma presents with acute shortness of breath, speaking in phrases, RR 30/min, HR 115 bpm, PEFR 45% of predicted, SpO2 93% on air. What is the most appropriate immediate management?