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ModerateRespiratoryAcute asthma exacerbationuk-plab-1

A 24-year-old man with a history of asthma presents with increasing breathlessness and wheeze. He is speaking in short phrases, respiratory rate is 30 breaths per minute, pulse 120 beats per minute, and peak expiratory flow (PEF) is 45% of his best. Oxygen saturation is 93% on air. What is the most appropriate initial bronchodilator treatment?

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