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EasyRespiratoryAcute severe asthmauk-plab-1

A 26-year-old woman with known asthma presents to A&E with an acute exacerbation. She is able to speak in full sentences, has a respiratory rate of 26 per minute, pulse 104 per minute, peak expiratory flow (PEF) 55% of best, and oxygen saturations 95% on air. What is the most appropriate initial bronchodilator treatment?

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