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A 35-year-old female is brought to the Emergency Department by EMS for respiratory distress. The patient appears dyspneic and tells you "I'm having an asthma attack." The patient has a history of asthma with no prior intubations or ICU admissions. She was given continuous albuterol treatments by EMS prior to arrival to the ED. She is speaking several word sentences and is in moderate distress. Pulmonary exam reveals diffuse expiratory wheezing. Blood work is drawn and sent to the lab. The patient then receives several rounds of albuterol with ipratroprium, steroids, and IV magnesium with improvement in her respiratory status. A chest radiograph is obtained which does not show any evidence of infectious process.