You are caring for a 17 year old woman who has been admitted with acute exacerbation of asthma. Her peak flow readings are deteriorating and she is becoming wheezy. What would you do?

  • Sit her upright, listen to her chest and refer to the chest physiotherapist.

  • Suggest that the patient takes her Ventolin inhaler and continue to monitor the patient.

  • Undertake a full set of observations to include oxygen saturations and respiratory rate. Administer humidified oxygen, bronchodilators, corticosteroids and antimicrobial therapy as prescribed

  • Reassure the patient: you know from reading her notes that stress and anxiety often trigger her asthma.