Question

A 16-year-old with an acute severe asthma exacerbation is treated with nebulized salbutamol and IV hydrocortisone but remains tachypnoeic with a persistent wheeze. According to BTS/SIGN/NICE, which additional therapy should be considered next?

Accepted Answer

Nebulized ipratropium bromide

Answer

Oral antibiotics

Answer

IV magnesium sulphate

Answer

IV aminophylline infusion

Answer

High-flow oxygen via Venturi

Practice question

A 16-year-old with an acute severe asthma exacerbation is treated with nebulized salbutamol and IV hydrocortisone but remains tachypnoeic with a persistent wheeze. According to BTS/SIGN/NICE, which additional therapy should be considered next?