The clinic with acute asthma flare

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A 22-year-old female presents to the clinic with an acute asthma flare, onset following a recent upper respiratory tract infection with symptoms including clear nasal discharge and a dry cough. She denies a fever. Her past medical history includes moderate persistent asthma that has been controlled and she reports acceptable peak expiratory flow (PEF) readings. She is currently using budesonide (Pulmicort) and albuterol as directed but continues to have coughing, wheezing, and difficulty breathing. At home, her PEF is 55% of her personal best. In the office, her forced expiratory volume at 1 second (FEV1) is 65% of predicted. Which would be the most appropriate adjustment to her medication regimen?

Reference no: EM133807315

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