A 7-year-old boy with known asthma presents with moderate wheeze and increased work of breathing. He is speaking in phrases, respiratory rate 32 breat...

Question

A 7-year-old boy with known asthma presents with moderate wheeze and increased work of breathing. He is speaking in phrases, respiratory rate 32 breaths/min, oxygen saturation 93% on room air and PEF 60% predicted. What is the most appropriate next step in acute management?

Accepted Answer

Inhaled salbutamol via spacer plus oral prednisolone

Answer

Observation only without treatment

Answer

IV magnesium sulphate as first-line therapy

Answer

Oral montelukast as acute treatment

Answer

Discharge home with increased use of preventer only

au-amc MCQ (SBA): Acute asthma child

A 7-year-old boy with known asthma presents with moderate wheeze and increased work of breathing. He is speaking in phrases, respiratory rate 32 breaths/min, oxygen saturation 93% on room air and PEF 60% predicted. What is the most appropriate next step in acute management?