2 Days Of Worsening in Pediatrics — 4yo Child | Pediatric Respiratory | SMLE Q#643

SMLE Question #643

Pediatrics Pediatric Respiratory
Last updated: February 2026
A 4-year-old boy is brought to the emergency department with 2 days of worsening shortness of breath and wheeze after an upper respiratory tract infection. He has had multiple prior hospitalizations for similar episodes and carries a diagnosis of asthma. He has diffuse expiratory wheezes and moderate intercostal retractions, with no focal chest findings. What is the most appropriate immediate management?

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