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EasyRespiratoryAcute severe asthmauk-plab-1

A 32-year-old woman with known asthma presents to the emergency department with worsening wheeze. She is too breathless to complete sentences, respiratory rate is 30/min, pulse 120/min and peak expiratory flow is 35% of predicted. Oxygen saturation is 93% on air. What is the most appropriate immediate treatment?

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