You're asked to see a 22 year old female with a past medical history of asthma who presents to the emergency room with increasing shortness of breath, chest tightness, and wheezing. Over the past 24 hours she's been non-responsive to her home nebulizer treatment every 4 hours.  A quick chart review allows you to see the patient has required ICU admission and mechanical ventilation last year due to an asthma exacerbation. As you walk into the room, you notice the patient can only speak one word at a time before taking deep breaths. She's in respiratory distress with an O2 sat of 88% on 2L NC. What would you do next?  Today, we'll show you the next best steps! - Subscribe to our YouTube here: http://www.youtube.com/subscription_center?add_user=medgeeks - Follow us on Instagram here: https://www.instagram.com/medgeeksinc - Ace your exams: https://learn.medgeeks.co - Have questions? Email team@medgeeks.co - This video should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.