Question

A 23-year-old with acute asthma exacerbation (moderate) received albuterol/ipratropium nebs and systemic steroids. Persistent wheeze and FEV1 45% predicted. Next recommended adjunct?

Accepted Answer

Administer IV magnesium sulfate 2 g over 20 minutes

Answer

Start IV aminophylline infusion

Answer

Intubate immediately

Answer

Begin long-term oral prednisone taper now

Answer

No further therapy; observe only

Practice question

A 23-year-old with acute asthma exacerbation (moderate) received albuterol/ipratropium nebs and systemic steroids. Persistent wheeze and FEV1 45% predicted. Next recommended adjunct?