Which of the following is an appropriate initial management action during an asthmatic attack?

• A. Asthmatics usually carry an inhaler & they can feel an attack coming on.
• B. Help them take their own medication.
• C. Put them in an upright position.
• D. Reassure them and be supportive.

Answer: (B)

During an asthmatic attack, the priority is to rapidly relieve bronchoconstriction. The best initial action is to help the patient take their own rescue medication, since the fast-acting inhaled bronchodilator can quickly open the airways within minutes. Make sure the inhaler technique is correct and, if available, use a spacer to improve delivery. After administration, reassess the patient’s symptoms. If there’s no improvement within a few minutes or the situation worsens (difficulty speaking, cyanosis, confusion), seek emergency help and follow your emergency protocol. While it’s true the patient carries an inhaler and should be supported, these steps alone don’t provide quick relief the way assisting with their rescue medication does.