Question

A 5-year-old boy is brought to a rural emergency department with a 2-day history of fever (38.9 °C), cough and increased work of breathing. He has tracheal tug, intercostal recession and biphasic wheeze. Oxygen saturation is 91 percent on room air. According to RCH acute asthma guidelines, what is the most appropriate initial management?

Accepted Answer

Inhaled salbutamol via spacer, systemic corticosteroid and supplemental oxygen to maintain saturation 94-98 percent

Answer

Oral prednisolone alone

Answer

Nebulised salbutamol without oxygen

Answer

High-flow nasal prong oxygen only

Answer

Chest X-ray first, then decide on treatment

Practice question