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A 13-year-old known asthmatic presents with severe wheezing and a respiratory rate of 40. Her pulse rate is 120. What is the next best step in management of this patient?
Oxygen and nebulised salbutamol
Oxygen and Metered dose inhaler of salmeterol
Oxygen and intravenous Aminophylline
Oxygen and Intravenous magnesium sulphate
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