What is the preferred initial treatment for a patient experiencing acute asthma?

The preferred initial treatment for a patient experiencing acute asthma is the administration of a bronchodilator, such as albuterol. This choice is based on the mechanism of action of bronchodilators, which work by relaxing the muscles around the airways, leading to dilation and improved airflow. In the context of an acute asthma attack, where bronchospasm occurs, bronchodilators provide rapid relief of symptoms like wheezing, shortness of breath, and chest tightness.

While intubation may be necessary in severe cases where the patient is unable to maintain their airway, it is not an initial treatment for acute asthma. Inhalation of corticosteroids can help reduce inflammation but is not as fast-acting as bronchodilators, making it less suitable as an initial treatment. Oxygen supplementation may be required, particularly if the patient is hypoxic, but it does not address the bronchospasm directly. Therefore, the most effective and immediate intervention for alleviating acute asthma symptoms is the administration of a bronchodilator.