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Severe asthma attack — GPhC CRA MCQ

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EasyRespiratory TherapeuticsSevere asthma attackGPhC CRA

A man with asthma is breathless at rest, speaking in short phrases and has peak flow 45% of his best after repeated salbutamol. What is the most appropriate action?

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Correct answer: ACall emergency medical help and give repeated salbutamol via spacer

Breathlessness at rest and very low peak flow indicate a severe asthma attack requiring emergency care. This makes call emergency medical help and give repeated salbutamol via spacer the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: NICE CKS; BNF