Question

A 9-year-old boy with a history of asthma presents with an acute exacerbation. He is talking in full sentences, respiratory rate is 22/min, pulse 90/min, oxygen saturation 96% on air and peak expiratory flow is 80% of predicted. What is the most appropriate management?

Accepted Answer

Give 2–4 puffs of Salbutamol via spacer and review; consider short course of oral Prednisolone

Answer

Admit for IV Hydrocortisone and continuous nebulisers

Answer

Give nebulised Salbutamol and Ipratropium and arrange urgent ICU review

Answer

Discharge without treatment

Answer

Start long-acting beta₂ agonist inhaler only

Practice question

A 9-year-old boy with a history of asthma presents with an acute exacerbation. He is talking in full sentences, respiratory rate is 22/min, pulse 90/min, oxygen saturation 96% on air and peak expiratory flow is 80% of predicted. What is the most appropriate management?