A 9-year-old boy with known asthma presents with wheeze and breathlessness during a viral infection. He is able to talk in sentences, PEFR is 70% of p...

Question

A 9-year-old boy with known asthma presents with wheeze and breathlessness during a viral infection. He is able to talk in sentences, PEFR is 70% of predicted, SpO2 is 97% on air and there are no cyanosis or exhaustion. What is the most appropriate initial management?

Accepted Answer

Give 2–10 puffs of Salbutamol via spacer and a short course of oral Prednisolone

Answer

Admit urgently to hospital

Answer

Give 2 puffs of Salbutamol via spacer and discharge

Answer

Start IV Magnesium Sulfate immediately

Answer

Start regular oral Theophylline

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

A 9-year-old boy with known asthma presents with wheeze and breathlessness during a viral infection. He is able to talk in sentences, PEFR is 70% of predicted, SpO2 is 97% on air and there are no cyanosis or exhaustion. What is the most appropriate initial management?