Question

A 7-year-old boy with known asthma presents with an acute attack. He is speaking in short phrases, has a respiratory rate of 34 per minute, pulse 135 per minute and oxygen saturation 93 percent on air. Peak expiratory flow is 55 percent of predicted. What is the most appropriate initial treatment?

Accepted Answer

10 puffs Salbutamol via spacer plus oral Prednisolone

Answer

Single puff Salbutamol inhaler

Answer

Intramuscular Adrenaline

Answer

Immediate intravenous Magnesium Sulfate as sole therapy

Answer

Discharge with increased use of Salbutamol as needed

Practice question

A 7-year-old boy with known asthma presents with an acute attack. He is speaking in short phrases, has a respiratory rate of 34 per minute, pulse 135 per minute and oxygen saturation 93 percent on air. Peak expiratory flow is 55 percent of predicted. What is the most appropriate initial treatment?