Acute Severe Asthma in Medicine / Internal Medicine — 26yo Man | Respiratory / Pulmonology | SMLE Q#11762
SMLE Question #11762
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 26-year-old man presents to the ED with acute severe asthma and respiratory distress. He has received 30 minutes of high-flow oxygen, repeated nebulized salbutamol plus ipratropium, and IV hydrocortisone. He remains hypoxic with accessory muscle use and cannot speak in full sentences. Blood pressure is stable. What is the most appropriate next IV treatment?
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