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Severe acute asthma — GPhC CRA MCQ

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EasyRespiratory TherapeuticsSevere acute asthmaGPhC CRA

A 28-year-old man asks for cough medicine but is speaking in short phrases, has a peak flow of 45% of his usual best, pulse 122/min and oxygen saturation 93% on air. He has used salbutamol repeatedly with little benefit. What is the most appropriate action?

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Correct answer: B — Call 999 for suspected severe acute asthma

Markedly reduced peak flow, tachycardia, low oxygen saturation and inability to speak normally are red flags for severe asthma. This requires emergency assessment and treatment, not OTC cough management. Repeated salbutamol with little benefit increases concern. The pharmacist should call 999 and continue supportive care while awaiting help.

Reference: NICE CKS Asthma