Question

A 28-year-old woman presents to the emergency department with an acute asthma attack. She is speaking in short phrases, respiratory rate is 30/min, pulse 120/min, PEFR is 45% of predicted and SpO2 is 92% on air. There is no silent chest or cyanosis. What is the most appropriate initial management?

Accepted Answer

High-flow oxygen, nebulised Salbutamol via oxygen-driven nebuliser and oral Prednisolone

Answer

Nebulised Salbutamol driven by air only and no steroids until review

Answer

Intravenous Aminophylline as first-line therapy

Answer

Immediate intravenous Hydrocortisone only

Answer

Intubation and ventilation in theatre immediately

Practice question

A 28-year-old woman presents to the emergency department with an acute asthma attack. She is speaking in short phrases, respiratory rate is 30/min, pulse 120/min, PEFR is 45% of predicted and SpO2 is 92% on air. There is no silent chest or cyanosis. What is the most appropriate initial management?