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 Best of Five 3.90

 

   

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BOF: 3.90

 

A 26 year old male who is a known asthmatic presents with acute onset of breathlessness and wheeze. On examination he is unable to complete sentences when speaking, he has a pulse rate of 120 beats per minute, his respiratory rate is 30 per minute, he finds it difficult to perform peak flow.

You treat him with high dose oxygen, hydrocortisone 100 mg intravenously and prednisolone 50 mgs orally and you give him nebulised salbutamol 5 mgs and nebulised ipratropium bromide 0.5 mgs.

15 minutes later he is still breathless and tachycardic and unable to complete sentences. You repeat the nebuliser and as there is no improvement you treat him with:

 

a)      Magnesium sulphate intravenously

 

b)      Intravenous aminophylline

 

c)      Methyl prednisolone intravenously

 

d)      Intravenous amxoyciilin and clarithromycin

 

e)      Intravenous salbutamol

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