A Patient Is Seen in Clinic for an Asthma Exacerbation

A patient is seen in clinic for an asthma exacerbation. The provider administers three nebulizer treatments with little improvement, noting a pulse oximetry reading of 90% with 2 L of oxygen. A peak flow assessment is 70%. What is the next step in treating this patient?

A) Administer three more nebulizer treatments and reassess.
B) Admit to the hospital with specialist consultation.
C) Give epinephrine injections and monitor response.
D) Prescribe an oral corticosteroid medication.