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Jessica, a 9-year-old Caucasian girl with moderate intermittent asthma, is seen in your primary care clinic. She is using a daily inhaled corticosteroid (Flovent 44mcg, 2 puffs BID) as well as albuterol two puffs up to every four hours PRN to relieve her cough and wheeze. According to her mother, she uses about 6 doses of albuterol daily.
1. Do you believe this is demonstrates good control of Jessica's asthma? Why or why not?
2. What medication modifications do you recommend in this case?
3. Discuss specific patient education on the prescribed therapy.
4. What are the parameters for monitoring success of the therapy?
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