A 28-year-old with severe asthma attack in ED. Initial oxygen saturation 88% on air, PEFR 25% predicted. First-line management?...

Question

A 28-year-old with severe asthma attack in ED. Initial oxygen saturation 88% on air, PEFR 25% predicted. First-line management?

Accepted Answer

Nebulised salbutamol driven by oxygen, steroids, oxygen to 94-98%

Answer

Nebulised ipratropium only

Answer

IV theophylline first

Answer

Discharge with inhaler

Answer

Restrict oxygen to 88-92%

ukmla MCQ (SBA): Severe acute asthma