Rosh Emergency Medicine Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

In the context of treating acute asthma exacerbations in the emergency setting, albuterol is the commonly used medication. Albuterol is a short-acting beta-2 adrenergic agonist that works quickly to relax bronchial smooth muscles, leading to bronchodilation. This mechanism is critical during an acute asthma attack, as it helps relieve the immediate and severe airway constriction that occurs.

In emergencies, albuterol is often delivered via a nebulizer or metered-dose inhaler, making it readily available and easy to administer. Its rapid onset of action allows for quick relief of symptoms, which is crucial when managing patients in distress.

While medications like prednisone (a corticosteroid), ipratropium (an anticholinergic), and magnesium sulfate may also play roles in asthma management—particularly for their anti-inflammatory effects or as adjunct treatments—albuterol is the first-line and most effective choice to promptly alleviate bronchospasm during acute exacerbations.