A 26 years old female presents to the surgery due to an exacerbation of her asthma

A 26 years old female

presents to the surgery due to an
exacerbation of her asthma.

On examination her peak flow is
300 l/min (usual 450 l/min)

and she can complete sentences.

Pulse is 90 bpm
and the respiratory rate is 18 / min.

Examination of the chest reveals a bilateral expiratory wheeze
but is otherwise unremarkable.

What is the most
appropriate management?

  • A. Oxygen + nebulised salbutamol + allow home if settles with follow-up review.
  • B. Oxygen + nebulised salbutamol + advise to double inhaled steroids + allow home if settles with follow-up
  • review.
  • C. Nebulised salbutamol + prednisolone + allow home if
  • settles with follow-up review.
  • D. Oxygen + nebulised salbutamol + prednisolone + immediate admission.
  • E. Nebulised salbutamol + advise to double inhaled steroids + allow home if settles with follow-up review.

0 voters