A 5-year-old girl with known asthma presents with an acute wheeze. She is alert, speaking in short phrases, respiratory rate 32 breaths/min, pulse 130...

Question

A 5-year-old girl with known asthma presents with an acute wheeze. She is alert, speaking in short phrases, respiratory rate 32 breaths/min, pulse 130 bpm and oxygen saturation 94% on air. Peak flow is 65% of predicted. What is the most appropriate first-line treatment?

Accepted Answer

Salbutamol via pressurised metered dose inhaler and spacer

Answer

Intravenous Salbutamol infusion

Answer

Intravenous Magnesium sulphate

Answer

Intramuscular Adrenaline

Answer

Oral Montelukast

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

A 5-year-old girl with known asthma presents with an acute wheeze. She is alert, speaking in short phrases, respiratory rate 32 breaths/min, pulse 130 bpm and oxygen saturation 94% on air. Peak flow is 65% of predicted. What is the most appropriate first-line treatment?