Question

A 26-year-old woman presents with an acute asthma exacerbation, with a peak expiratory flow (PEF) of 45% predicted. She has received repeated albuterol-ipratropium nebulizations and systemic steroids but remains in moderate distress. What is the best next adjunct?

Accepted Answer

IV magnesium sulfate

Answer

IV aminophylline

Answer

Inhaled long-acting beta-agonist

Answer

Start daily montelukast

Answer

Heliox as first-line

Practice question

A 26-year-old woman presents with an acute asthma exacerbation, with a peak expiratory flow (PEF) of 45% predicted. She has received repeated albuterol-ipratropium nebulizations and systemic steroids but remains in moderate distress. What is the best next adjunct?