Known Asthma Is Brought in Pediatrics — 9yo Child | Pediatric Respiratory | SMLE Q#17540
SMLE Question #17540
Pediatrics
Pediatric Respiratory
Objective: OBJ-RESP-ASTHMA-ED-01
Last updated: February 2026
A 9-year-old child with known asthma is brought to the emergency department for shortness of breath and wheeze that began 4 hours ago after an upper respiratory infection. The child used 2 puffs of salbutamol at home with partial relief. On examination, the child is speaking in full sentences, mildly distressed, with diffuse expiratory wheeze and good air entry, no retractions, and no altered mental status. Peak expiratory flow is 60% of personal best. What is the most appropriate immediate management in the ED?
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