PLAB02-177

Maya is 26 years old and requests an emergency appointment at her GP surgery due to increasing shortness of breath and cough over the last few days. She is known to have Asthma and has had several flares over the last few months. She has already used her Salbutamol inhaler 5 times today.

Upon assessment she is struggling to talk in full sentences, temperature is 36.8°C, blood pressure 112/74, respiratory rate is 27, pulse 100 bpm and oxygen saturations are 94% on room air. There is widespread wheeze on chest auscultation and peak flow is 200 (best recorded is 440). She reports good compliance with her twice daily Beclometasone inhaler and there are no obvious triggers to her symptoms. The receptionist was concerned and has already arranged a blue light ambulance.

What is the next most appropriate step in management?

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