Question

A 30-year-old man with asthma presents with severe wheeze and breathlessness. He is unable to complete sentences in one breath, respiratory rate is 30/min, pulse 120/min, peak expiratory flow (PEF) is 45% of predicted, and SpO₂ is 93% on air. What is the most appropriate immediate management?

Accepted Answer

Nebulised Salbutamol with oxygen, oral Prednisolone and consider nebulised Ipratropium

Answer

Inhaled short-acting beta₂ agonist via spacer only and review in 4 hours

Answer

Intravenous Aminophylline as first-line treatment

Answer

Intravenous Hydrocortisone only

Answer

Discharge with increased use of Salbutamol inhaler

Practice question

A 30-year-old man with asthma presents with severe wheeze and breathlessness. He is unable to complete sentences in one breath, respiratory rate is 30/min, pulse 120/min, peak expiratory flow (PEF) is 45% of predicted, and SpO₂ is 93% on air. What is the most appropriate immediate management?