AKT-0802

AKT-0802

A 10-year-old girl presents for an urgent review. She has been experiencing wheezing and coughing for the past 24 hours despite regular use of a salbutamol inhaler. She is otherwise healthy. The patient was diagnosed with asthma two years ago and has been managing it well with occasional reliever therapy.

Upon examination, the patient appears well and is able to communicate without difficulty. There are no signs of respiratory distress. Mild wheezing is present throughout the chest with no crackles. Vital signs are as follows: respiratory rate 20, pulse 100 bpm, blood pressure 110/60mmHg, oxygen saturation 96%, and temperature 37°C. Peak flow is measured at 290L/min (315L/min expected).

What is the most appropriate course of action?