A 40-year-old man with known asthma presents to the emergency department with increasing wheeze and dyspnoea. He can speak in phrases, respiratory rat...

Question

A 40-year-old man with known asthma presents to the emergency department with increasing wheeze and dyspnoea. He can speak in phrases, respiratory rate is 26 breaths/min, oxygen saturation 93 percent on room air, and peak expiratory flow is 60 percent of his personal best. What is the most appropriate initial treatment?

Accepted Answer

Inhaled salbutamol via metered-dose inhaler with spacer plus oral prednisone

Answer

Nebulised Adrenaline alone

Answer

IV aminophylline infusion as first-line therapy

Answer

Oral montelukast and discharge

Answer

Observation only because his oxygen saturation is acceptable

ca-mccqe1 MCQ (SBA): Acute asthma exacerbation