A 7-year-old girl with known asthma presents with acute wheeze and shortness of breath. She is speaking in short sentences, respiratory rate 32/min, P...

Question

A 7-year-old girl with known asthma presents with acute wheeze and shortness of breath. She is speaking in short sentences, respiratory rate 32/min, PEFR 55% predicted, oxygen saturation 95% on air. What is the most appropriate initial management?

Accepted Answer

High-dose inhaled Salbutamol via spacer and consider oral Prednisolone

Answer

Oral Prednisolone only

Answer

Immediate IV magnesium sulphate

Answer

No treatment required as PEFR is normal

Answer

Start long-acting beta agonist

uk-plab-1 MCQ (SBA): Acute asthma in child

A 7-year-old girl with known asthma presents with acute wheeze and shortness of breath. She is speaking in short sentences, respiratory rate 32/min, PEFR 55% predicted, oxygen saturation 95% on air. What is the most appropriate initial management?