Question

A 24-year-old woman with known asthma presents with extreme breathlessness. She is exhausted, confused, has a silent chest on auscultation, respiratory rate 10/min, SpO₂ 85% on air and PEF cannot be recorded. What is the single most appropriate immediate action?

Accepted Answer

Call the resuscitation team and prepare for intubation while giving high-flow oxygen and nebulised Salbutamol with Ipratropium

Answer

Nebulised Salbutamol via air-driven nebuliser

Answer

Give intramuscular Adrenaline

Answer

Give oral Prednisolone and observe

Answer

Discharge her urgently to improve her psychological state

Practice question

A 24-year-old woman with known asthma presents with extreme breathlessness. She is exhausted, confused, has a silent chest on auscultation, respiratory rate 10/min, SpO₂ 85% on air and PEF cannot be recorded. What is the single most appropriate immediate action?