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Improving acute asthma — RCPSC EM MCQ

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ModerateRespiratory emergenciesImproving acute asthmaRCPSC EM

A 45-year-old woman treated for severe asthma has improved after salbutamol, ipratropium, steroids, and magnesium. She is speaking normally, oxygen saturation is 97% on room air, peak flow is 78% predicted, and there has been no relapse after 3 hours. What is the most appropriate disposition?

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Correct answer: D — Discharge with reliever/controller plan, steroid course, and close follow-up

After sustained clinical improvement with adequate oxygenation and peak flow around or above 70% predicted, discharge can be appropriate if medications, education, action plan, and follow-up are arranged.

Reference: Canadian Thoracic Society asthma guidance