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InnovAiT 2008 1(6):430; doi:10.1093/innovait/inn099
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© The Author 2008. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions please e-mail: journals.permissions@oxfordjournals.org

AKT question relating to Asthma

A 40-year-old man presents in General Practice as an emergency with increasing breathlessness which has been waking him at night. He has a long history of asthma and has not been taking his inhalers. His last recorded peak flow rate (when well) was 600.

On assessment he is able to speak in sentences, walk on the flat but his resting pulse is 106 beats per minute, respiratory rate 24 per minute and oxygen saturations 98%. He is apyrexial and has a global wheeze. His PEFR is 370.

As an initial step, which one of the following options represents best practice in Primary Care?

A. Bronchodilator (via volumatic) + Aminophylline 250 mg IV
B. Bronchodilator (via volumatic) + Budesonide inhaler 800 mcg
C. Bronchodilator (via volumatic) + Chlorphenamine 10 mg IV
D. Bronchodilator (via volumatic) + Prednisolone 40 mg orally
E. Bronchodilator (via volumatic) + Salmeterol 50 mcg


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This Article
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