Problem: Lucinda, a 32 year old woman, has had allergic asthma since she was a child. She lives with her mother in the suburb of Fern Tree, Hobart, and works as a health care assistant at a local aged care residence. Family history: Lucinda's father died of complications from asthma when he was 40 years old. Her mother is in good health, with mild hypertension. Past medical history: Lucinda's general health is good, with a past history of appendectomy when she was 16 years of age. Weight: 63 kg Height: 145 cm. Current presentation: Unwell for three days with dyspnoea and fever (39.5oC). Some wheezing and chest tightness. Enacted her asthma management plan. Brought into Royal Hobart Hospital Emergency Department by mother. Mother reports her own chest infection last week for which she was prescribed oral antibiotics by the GP. Physical activity: She swims 2 km three times a week and walks 5 km three times a week on the tracks of kunanyi/Mt Wellington. Assessment: Vital signs: RR: 32 bpm SpO2: 90% on room air BP: 160/90 mmHg HR: 125 bpm Temp: 38.5oC Diet: She eats a balanced diet, does not smoke and drinks alcohol in moderation. Other: alcohol - less