Try to think about this MCQ prior to the session today.. 🙇♀️🙇♂️🤔💡
A 9-year-old boy presents to the emergency department with a history of asthma. He is experiencing a severe asthma exacerbation. His mother states that he has been using his albuterol inhaler every 2 hours without relief. On examination, he has the following vital signs: heart rate 120 bpm, respiratory rate 35 breaths/min, oxygen saturation 88% on room air, and he is using accessory muscles to breathe. What is the next best step in management?
A. Administer a nebulized albuterol treatment.
B. Start intravenous magnesium sulfate.
C. Intubate and start mechanical ventilation.
D. Administer intravenous corticosteroids.