Asthma exacerbation in a 27-year-old woman.Guidelines and Treatment for Asthma Pearls of Wisdom Q&A Case
Asthma is a common and potentially serious chronic disease that imposes a substantial burden on patients, their families and the community. It causes respiratory symptoms, limitation of activity, and flare-ups (attacks) that sometimes require urgent health care and may be fatal. Asthma attacks - called asthma exacerbations - can be classified as mild, moderate, severe, or life threatening. Let's look at the pearls in treating asthma exacerbations and asthma therapy.
A 27-year-old woman was seen in an urgent care and treated with nebulized albuterol and ipratropium for an asthma exacerbation. She was directed to follow up in primary care to make a plan for ongoing asthma therapy.
She smokes only when going out to bars with friends and doesn’t live with any smokers. She has no dogs or cats.
She denies chronic cough and she is rarely awakened by wheezing, cough, and dyspnea.
She has episodes of wheezing and shortness of breath once or twice a week.
She had been using an old prescription for an albuterol metered dose inhaler until that ran out.
She has had the episodes of wheezing, off and on, especially when suffering from a cold, since childhood.
On examination, she has normal vital signs and clear lungs. Spirometry results are normal, with no decrease from predicted FEV1 value.
According to the most recent expert asthma guidelines, what medication should she use when she has an asthma exacerbation?
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