A School-Age Child Who Uses a Short-Acting Beta2-Agonist (SABA) and an Inhaled

question 15

Multiple Choice

A school-age child who uses a short-acting beta2-agonist (SABA) and an inhaled corticosteroid medication is seen in the clinic for an acute asthma exacerbation. After 4 puffs of an inhaled short-acting B2-agonist (SABA) every 20 minutes for three treatments, spirometry testing shows an FEV1 of 60% of the child's personal best. What will the primary care pediatric nurse practitioner do next?

• A) Administer an oral corticosteroid and repeat the three treatments of the inhaled SABA.
• B) Admit the child to the hospital for every 2 hour inhaled SABA and intravenous steroids.
• C) Give the child 2 mg/kg of an oral corticosteroid and have the child taken to the emergency department.
• D) Order an oral corticosteroid, continue the SABA every 3 to 4 hours, and follow closely.

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