A 26-year-old woman with known asthma presents to A&E with an acute exacerbation. She is able to speak in full sentences, has a respiratory rate of 26...

Question

A 26-year-old woman with known asthma presents to A&E with an acute exacerbation. She is able to speak in full sentences, has a respiratory rate of 26 per minute, pulse 104 per minute, peak expiratory flow (PEF) 55% of best, and oxygen saturations 95% on air. What is the most appropriate initial bronchodilator treatment?

Accepted Answer

Nebulised salbutamol driven by oxygen

Answer

Inhaled low-dose beclometasone via spacer

Answer

Nebulised ipratropium bromide alone

Answer

Intravenous aminophylline

Answer

Oral prednisolone alone

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