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EasyRespiratoryAcute asthma exacerbationuk-plab-1

A 26-year-old man with known asthma presents with an acute attack. He is speaking in full sentences, respiratory rate 24/min, heart rate 104 bpm, oxygen saturation 95% on air and peak expiratory flow is 65% of his best. What is the most appropriate initial treatment in the emergency department?

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