Question

A 26-year-old with known asthma presents with an acute exacerbation: PEFR 55% predicted, RR 26, SpO2 95% on air, speaking in sentences. What is the appropriate next step?

Accepted Answer

Oral prednisolone 40-50 mg and repeated salbutamol via spacer

Answer

Nebulised adrenaline

Answer

IV magnesium sulfate immediately

Answer

Discharge with SABA only

Answer

Start high-dose inhaled corticosteroid only

Practice question

A 26-year-old with known asthma presents with an acute exacerbation: PEFR 55% predicted, RR 26, SpO2 95% on air, speaking in sentences. What is the appropriate next step?