History of nasal congestion-coughing and chest tightness

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A 22-year-old man with a history of asthma presents to the clinic with a 3-day history of nasal congestion, coughing, and chest tightness. He reports progression of symptoms over the past few days and has recently had increased use of his home rescue inhaler. On physical exam, his respiratory rate is 22 breaths/min, but he does not appear to be in major respiratory distress and is speaking in complete sentences. His lung exam reveals bilateral expiratory wheezes, and his peak expiratory flow is 65% of his baseline. What is the best next step in this patient's management?

Reference no: EM133815555

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