A 32-year-old with severe asthma exacerbation in the ED has peak flow 35% predicted after initial albuterol/ipratropium. Next step?...

Question

A 32-year-old with severe asthma exacerbation in the ED has peak flow 35% predicted after initial albuterol/ipratropium. Next step?

Accepted Answer

Administer systemic corticosteroids (e.g. prednisone 40-50 mg) and consider IV magnesium sulfate

Answer

Discharge with oral steroids only

Answer

Start theophylline infusion

Answer

Start antibiotics

Answer

Discharge home

"moderate" MCQ (SBA): Respiratory Medicine