A 7-year-old girl with a history of recurrent wheeze presents with acute severe asthma exacerbation: she is speaking in single words, RR 36, accessory...

Question

A 7-year-old girl with a history of recurrent wheeze presents with acute severe asthma exacerbation: she is speaking in single words, RR 36, accessory muscle use, oxygen saturation 90% on room air. What is the most appropriate immediate management?

Accepted Answer

Nebulised salbutamol and ipratropium plus systemic corticosteroids and supplemental oxygen

Answer

Oral salbutamol and discharge

Answer

Start antibiotics for presumed pneumonia

Answer

Use only systemic corticosteroids without bronchodilators

Answer

Observe without treatment

ca-mccqe1 MCQ (SBA): Acute severe asthma in child

A 7-year-old girl with a history of recurrent wheeze presents with acute severe asthma exacerbation: she is speaking in single words, RR 36, accessory muscle use, oxygen saturation 90% on room air. What is the most appropriate immediate management?