A 26-year-old woman with a history of asthma presents with acute wheeze and shortness of breath. PEFR is 55% of predicted, she is speaking in full sen...

Question

A 26-year-old woman with a history of asthma presents with acute wheeze and shortness of breath. PEFR is 55% of predicted, she is speaking in full sentences and oxygen saturation is 95% on air. What is the most appropriate initial treatment?

Accepted Answer

High-dose inhaled Salbutamol via spacer and consider a short course of oral steroids

Answer

Oral Prednisolone alone

Answer

Nebulised Ipratropium Bromide alone

Answer

Magnesium sulphate IV as first line

Answer

Immediate intubation and ventilation

uk-plab-1 MCQ (SBA): Acute asthma exacerbation (moderate)

A 26-year-old woman with a history of asthma presents with acute wheeze and shortness of breath. PEFR is 55% of predicted, she is speaking in full sentences and oxygen saturation is 95% on air. What is the most appropriate initial treatment?