 Today you're working in the emergency department. Your next patient is a 40-year-old female with shortness of breath. At triage, she has the following vital signs. Tachypnea, tachycardia, hypotension, and hypoxia. You immediately put her into a resuscitation bed with cardiac monitor. You also put her on high-flow oxygen by mask. On examination, your patient is unable to lie down. She sits upright in a tripod position. When you examine her, she has various signs of respiratory distress, including tracheotugging, supiclavicular and intercostal in-drawing, and abdominal breathing. She also has one-word dyspnea. When you listen to her lungs, her breath sounds are decreased globally with no wheezes. Her husband who is with her tells you that she is a known asthmatic and she has been intubated in the past for asthma. She has been battling it cold for the past three days and noticed she has been more short of breath. She has also run out her regular puffers. She has no recent travel or fever. You decided that this patient is having a severe asthma exacerbation. You asked the nurse to put in an IV. You also start the patient on subbutamol and iprotropium nebulizers continuously. You gave one dose of hydrocortisone 125 mg. You also asked the nurse to put in a one-liter normal saline bolus after the IV is established. After 15 minutes of continuous nebulizer, the patient states she is feeling better. She is able to say three or four words. Her respiration rate has gone down. Auction saturation is better. She has minimal tracheotugging and in-drawing. When you listen to her chest, she now has better air injury. And now you hear wheezes throughout her chest. You continue with giving the patient more subbutamol nebulizers and watch her to make sure that she is feeling better. You decided to reassess her in about two or three hours time.