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MediumEmergencyAcute asthma exacerbationca-mccqe1ca-rcpsc-em

A 30-year-old man with known asthma presents to the emergency department with a moderate exacerbation: he is speaking in phrases, respiratory rate 26 breaths/min, oxygen saturation 93% on room air, and peak expiratory flow 60% of personal best. According to Canadian asthma emergency management principles, which initial treatment regimen is most appropriate?

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