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MediumRespiratoryAcute asthma management in adultsau-acemau-amc

A 45-year-old woman presents to the emergency department with acute shortness of breath and wheeze. She has a history of moderate persistent asthma. On arrival she is speaking in short phrases, respiratory rate 26 breaths/min, heart rate 110 bpm, oxygen saturation 93% on room air and PEFR 55% of personal best. According to the Australian Asthma Handbook, what is the most appropriate initial bronchodilator therapy?

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