PLAB 2 (Professional And Linguistic Assessments Board Part 2) [plab-2-gmc]

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A patient in A&E presents with an acute asthma attack. Their peak flow is 40% of predicted, they cannot complete sentences, and their respiratory rate is 28/min. According to BTS/SIGN guidelines, how should this be classified and what is the immediate management?
Correct Answer:
Acute severe asthma — give high-flow oxygen, nebulised salbutamol 5 mg, nebulised ipratropium bromide 500 mcg, and oral prednisolone 40-50 mg (or IV hydrocortisone 100 mg)

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