Final answer:
In cases of asthma exacerbation with shortness of breath and recurrent attacks, starting inhaled short-acting bronchodilators is an immediate treatment step. Measuring peak expiratory flow rate helps monitor airway obstruction, and referral to a pulmonologist might be needed for severe or frequent attacks. A chest X-ray could be considered if complications are suspected.
Step-by-step explanation:
A patient presenting with shortness of breath (SOB) and recurrent asthma attacks indicates an exacerbation of asthma, which is characterized by symptoms like coughing, wheezing, and chest tightness. In such situations, acute management is crucial, and the use of inhaled short-acting bronchodilators is often the first line of treatment. This helps in providing quick relief by dilating the constricted airways.
As the Forced Expiratory Volume in one second (FEV1) is an important indicator of lung function, measuring peak expiratory flow rate (peak flow) can also provide immediate information on the degree of obstruction in the airways. While the patient's FEV1 is at 97, which might seem normal, the peak flow measurement can help in regular monitoring of the patient's condition. If the asthma attacks are frequent or severe, referring the patient to a pulmonologist for specialized care can be considered to better manage the asthma. Additionally, if there is suspicion of complications like pneumonia, a chest X-ray may be warranted.