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EasyRespiratoryAcute asthma exacerbationca-mccqe1ca-rcpsc-em

A 27-year-old man with known asthma presents to the emergency department with acute wheeze and dyspnoea. He is speaking in short phrases, RR 30 breaths/min, HR 118 beats/min, SpO2 92% on room air and using accessory muscles. What is the most appropriate immediate treatment?

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