Question

A 34-year-old woman presents with acute onset wheeze and shortness of breath after forgetting to take her preventer for a week. She uses a salbutamol inhaler frequently. In clinic, she is speaking in full sentences with RR 20 breaths/min, HR 95 beats/min, oxygen saturation 97% on room air and PEF 75% of predicted. What is the most appropriate management step in general practice?

Accepted Answer

Give inhaled salbutamol via spacer and oral prednisolone, observe and adjust preventer therapy

Answer

Admit urgently to hospital for intravenous bronchodilators

Answer

Start long-term oral corticosteroids without bronchodilators

Answer

Withhold treatment and arrange spirometry in 1 month

Answer

Give intravenous adrenaline immediately

Practice question